Search › Mississippi › 207Q00000X
Thomas Forks, DO
NPI 1164499190 · on the registry since 2006
Practice
- Address
- 7275 S Siwell Rd
Jackson, MS 39272 - Phone
- (601) 373-7722
- Fax
- (601) 373-7378
- Organisation at this address
- Medical Foundation Of Central Mississippi, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi