Individual
MR. EDWARD EUGENE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.CCCA
Contact information
Practice address
310 MARION AVE, MCCOMB, MS 39648-2708
(601) 249-3254
(601) 249-3957
Mailing address
310 MARION AVE, MCCOMB, MS 39648-2708
(601) 249-3254
(601) 249-3957
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0025
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00075016
—
MS
Enumeration date
09/04/2006
Last updated
07/09/2007
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