Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 605 Poplar St, Tchula, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447434642 | NPI | - | NPPES |
09014870 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | A1198 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 753, Tchula, MS 39169-0753 Ph: (662) 235-5685 | 605 Poplar St, Tchula, MS 39169 Ph: (662) 235-5685 |
Thomas Ross, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 605 Poplar St., Tchula, MS 39169 Phone: 662-235-5685 |