Individual
ELIZABETH POLK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
107 EUREKA ST, BATESVILLE, MS 38606-2533
(662) 563-7681
(662) 563-7690
Mailing address
123 HILLCREST DR, BATESVILLE, MS 38606-9302
(662) 563-7681
(662) 563-7690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R811462
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118901
—
MS
Enumeration date
11/03/2006
Last updated
07/08/2007
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