Individual
DR. TONY LAVELLE HUMPHRIES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D. M. D.
Contact information
Practice address
144 OLD HIGHWAY 98 E, COLUMBIA, MS 39429-6447
(601) 736-5681
(601) 736-5606
Mailing address
144 OLD HIGHWAY 98 E, COLUMBIA, MS 39429-6447
(601) 736-5681
(601) 736-5606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1977-82
MS
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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