NPI 1356470983

Vernon a Chase, DR

Practitioner Basic Emergency Medical Technician Pontotoc, MS

Practice location

Address: 176 S Main St, Pontotoc, MS 38863-3311
Phone: (662) 488-7640
Fax: (662) 488-7675
Mailing address: 1309 Carrollville Ave, Baldwyn, MS 38824-1112

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 05771 (MS)

Other Emergency Medical Technician, Basic providers in Mississippi →

Registry record

NPI: 1356470983
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Mar 2007
Record last updated: 8 Jul 2007

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.