NPI 1265729941
Theon Walley
Practice location
- Address
- 1417 23rd Ave, Meridian, MS 39301-4024
- Phone
- (601) 693-6626
- Fax
- (601) 693-6676
- Mailing address
- PO Box 17167, Hattiesburg, MS 39404-7167
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1265729941
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Jul 2011
- Record last updated
- 1 Jul 2011
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.