Provider Demographics
NPI:1811953888
Name:THOMAS, HAROLD R JR (MD)
Entity type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:R
Last Name:THOMAS
Suffix:JR
Gender:
Credentials:MD
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Mailing Address - Street 1:900 EARL FRYE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-5507
Mailing Address - Country:US
Mailing Address - Phone:662-256-9331
Mailing Address - Fax:662-597-6004
Practice Address - Street 1:900 EARL FRYE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-5507
Practice Address - Country:US
Practice Address - Phone:662-256-9331
Practice Address - Fax:662-597-6004
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2025-03-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS13918207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00113845Medicaid
MSF86069Medicare UPIN
MS00113845Medicaid