Individual
STEFANIE MONIQUE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
705 HWY 80 WEST, CLINTON, MS 39056
(601) 926-1500
(601) 926-1502
Mailing address
705 HWY 80 WEST, CLINTON, MS 39056
(601) 926-1500
(601) 926-1502
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80151
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06981282
—
MS
Enumeration date
08/30/2006
Last updated
07/08/2007
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