NPI 1316403173

Brenda Thomas

Practitioner Contractor Flowood, MS

Practice location

Address: 1005 Laurel Dr, Flowood, MS 39232-8342
Phone: (601) 613-5947

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 7482316 (MS)

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Registry record

NPI: 1316403173
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2019
Record last updated: 18 Feb 2019

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.