Male or Other

Thomas L. Eby MD

Otolaryngology Physician in Jackson, MS(View on Map)

Full Name

Thomas L Eby MD

NPI Number

1235172206

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/14/2006

Specialties

(Taxonomies)

Code

207Y00000X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

19453

Contact
Information

Purpose

Mailing
Location

Address

2500 N STATE ST
2500 N STATE ST

City

Jackson
Jackson

State

MS
MS

Postal Code

39216-4500
39216-4500

Country

US
US

Telephone Number

(601) 984-5160
(601) 984-5160

Identifiers

Identifier

P00462187
05608020

Identifier State

Unknown
MS

Identifier Issuer

RR MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/31/2013

Provider Address

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