Organization
TOTAL ICARE MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY THOMPSON O.D. (OWNER)
(601) 212-8162
Entity
Organization
Contact information
Practice address
1200 E COUNTY LINE RD, STE 164, RIDGELAND, MS 39157-1904
(769) 208-8930
(769) 208-8831
Mailing address
PO BOX 2355, RIDGELAND, MS 39158-2355
(769) 208-8930
(769) 208-8831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
867
MS
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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