Individual
MICHELLE THOMAS-POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 MORRIS ST, MOSS POINT, MS 39563-2850
(228) 366-0405
Mailing address
4901 MORRIS ST, MOSS POINT, MS 39563-2850
(228) 366-0405
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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