Organization
MISSISSIPPI NEUROLOGY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADELE A THIEL MD (PRESIDENT)
(601) 939-4198
Entity
Organization
Contact information
Practice address
1020 RIVER OAKS DR, SUITE 420, FLOWOOD, MS 39232-9500
(601) 939-4198
(601) 939-4120
Mailing address
1020 RIVER OAKS DR, SUITE 420, FLOWOOD, MS 39232-9500
(601) 939-4198
(601) 939-4120
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
12161
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013832
—
MS
Enumeration date
09/20/2006
Last updated
05/06/2008
Update your record
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