THOMAS P FORKS

JACKSON, MS
NPI1164499190
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  12215)
Enumeration Date2006-03-08
Last Update Date2010-12-02
Business Address
THOMAS P FORKS DO
7275 S SIWELL RD
JACKSON, MS 39272-9776
Phone number: 601-373-7722
Mailing Address
THOMAS P FORKS DO
1151 N STATE ST SUITE 408
JACKSON, MS 39202-2407
Phone number: 601-292-4261
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