Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 05155 | MS |
NPI | 1023084688 |
---|---|
Provider Name | Dr. Thomas Royals Singley |
First Address | Pascagoula, MS 39581-5336 |
Second Address | Pascagoula, MS 39581-5336 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00013172 | (05) | MS |
09014392 | (05) | MS |
D00953 | (02) |