Thomas D Fowlkes in Oxford - Addiction Medicine
Thomas D Fowlkes - NPI 1477649218
Thomas D Fowlkes is a Addiction Medicine in Oxford, Mississippi. Thomas D Fowlkes practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Thomas D Fowlkes is 1477649218. The last update date is 2012-07-10.
Thomas D Fowlkes's current location address is Po Box 1093, Oxford, Mississippi. You can contact this provider via phone number 6628017508 and fax number 6622348531. The mailing address for Thomas D Fowlkes is Po Box 1093, Oxford, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas D Fowlkes |
|---|---|
| Address | Po Box 1093, Oxford, Mississippi |
| Phone Number | 6628017508 |
| Fax Number | 6622348531 |
| Sole Proprietor | N |
| Credentials | M. D. |
NPI Number Detail
| NPI Number | 1477649218 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2012-07-10 |
Provider Mailing Address Detail
| Address | Po Box 1093 |
|---|---|
| City | Oxford |
| State | Mississippi (MS) |
| Post Code | 386551093 |
| Phone Number | 6628017508 |
| Fax Number | 6622348531 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 13406 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1508551 | MS | -- | |
| 5916714 | MS | CIGNA PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Thomas D Fowlkes by the Centers for Medicare & Medicaid Services (CMS)?
The Thomas D Fowlkes has been assigned the NPI (National Provider Identifier) 1477649218. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Thomas D Fowlkes is physically located?
The Thomas D Fowlkes is situated at the following address: Po Box 1093, Oxford, MS 386551093.
What is the Thomas D Fowlkes's specialty and taxonomy code?
The Thomas D Fowlkes's specialty is Addiction Medicine, and the corresponding taxonomy code is 207Ra0401X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477649218 to Thomas D Fowlkes?
The Centers for Medicare & Medicaid Services originally issued the 1477649218 to Thomas D Fowlkes on 2006-10-05.
When was the information related to Thomas D Fowlkes most recently updated or refreshed?
The details pertaining to the Thomas D Fowlkes, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-07-10.