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MR. PHILIP ANTHONY BICKERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CP

Contact information

Practice address
2106S TATE ST, CORINTH, MS 38834-7913
(662) 795-4555
(662) 643-4131
Mailing address
PO BOX 2463, CORINTH, MS 38835-2463
(662) 795-4555
(662) 643-4131

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
PRO000000184
TN

Other

Enumeration date
07/12/2012
Last updated
10/01/2013
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