NPI 1245404185

Elizabeth G Tice DPM PLLC

Organisation Podiatrist Jackson, MS

Practice location

Address: 1860 Chadwick Drive Suite 106, Jackson, MS 39204
Phone: (601) 376-2963
Fax: (601) 376-2967

Authorised official

Name: Elizabeth G Tice
Title: Physician/Owner
Phone: (601) 376-2963

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 80188 (MS)

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1245404185
Entity type: Organization
NPI issued: 22 Apr 2008
Record last updated: 20 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.