Individual
DR. THOMAS S POWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
607B EARL FRYE BLVD, AMORY, MS 38821-5503
(662) 256-9711
(662) 256-1047
Mailing address
607B EARL FRYE BLVD, AMORY, MS 38821-5503
(662) 256-9711
(662) 256-1047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MS0525
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087005
—
MS
Enumeration date
08/18/2005
Last updated
11/12/2010
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