NPI 1578665394

Elizabeth Tice, DPM

Practitioner Podiatrist Jackson, MS

Practice location

Address: 1860 Chadwick Dr Suite 106, Jackson, MS 39204-3463
Phone: (601) 376-2963
Fax: (601) 376-2967
Mailing address: 1860 Chadwick Dr STE 206, Jackson, MS 39204-3466

Registered specialties

Podiatrist Primary

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

Other Podiatrist providers in Mississippi →

Registry record

NPI: 1578665394
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2006
Record last updated: 26 Feb 2018

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.