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Individual

DR. WALTER ANDREWS THAMES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
228 MAIN STREET, NETTLETON, MS 38858
(662) 963-7338
(662) 963-7339
Mailing address
PO BOX 388, 228 MAIN STREET, NETTLETON, MS 38858-0388
(662) 963-7338
(662) 963-7339

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2204-85
MS

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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