MR. Micheal Thomas, DIRECTOR
NPI #1154735405 in Indianola, Mississippi
Provider Information
- NPI Number
- 1154735405
- Entity Type
- Individual
- Name
- MR. Micheal Thomas, DIRECTOR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Private Vehicle
- Credential
- DIRECTOR
- Enumeration Date
- Jun 15, 2014
- Last Updated
- Jun 15, 2014
Practice Location
- Address
- 216 NORTH AVE
- City
- Indianola
- State
- Mississippi
- ZIP Code
- 38751-2131
- Phone
- (662) 336-8087
Specialties & Taxonomy Codes
| Specialty |
|---|
| Private Vehicle |
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