Individual
THOMAS ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 POPLAR ST., TCHULA, MS 39169
(662) 235-5685
Mailing address
PO BOX 753, TCHULA, MS 39169-0753
(662) 235-5685
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A1198
MS
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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