Individual
THOMAS AUGUSTUS NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 WEST GAINES, CALHOUN CITY, MS 38916-0157
(662) 628-5212
Mailing address
PO BOX 157, CALHOUN CITY, MS 38916-0157
(662) 628-5212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
101861
MS
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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