Individual
DR. HARRY THOMAS COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
144 SOUTH THOMAS STREET, SUITE 203, TUPELO, MS 38801
(662) 840-4422
(662) 840-4447
Mailing address
144 SOUTH THOMAS STREET, SUITE 203, TUPELO, MS 38801
(662) 840-4422
(662) 840-4447
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2403
MS
1223E0200X
Endodontics
DS0000005162
TN
1223E0200X
Endodontics
ENDO22092
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3030652
BLUE CROSS BLUE SHIELD
TN
01
—
863952
UNITED CONCORDIA
PA
Enumeration date
05/02/2007
Last updated
07/08/2007
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