| Doctor Name: | MR. MICHEAL THOMAS |
| NPI Number: | 1154735405 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DIRECTOR |
| License Number: | 800064763 |
| Business Practice Address: | 216 North Ave Indianola, MS - 387512131 |
| Business Phone Number: | 6623368087 |
| Business Fax Number: | |
| Mailing Address: | 216 North Ave, INDIANOLA |
| State: | MS |
| Postal Code: | 387512131 |
| Phone Number: | 6623368087 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2014 |
| NPI Last Update Date: | 06/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | 800064763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |