Individual
DR. ELIZABETH TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1860 CHADWICK DR, SUITE 106, JACKSON, MS 39204-3463
(601) 376-2963
(601) 376-2967
Mailing address
1860 CHADWICK DR STE 206, JACKSON, MS 39204-3466
(601) 376-2963
(601) 376-2967
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80188
MS
Other
Enumeration date
09/02/2006
Last updated
02/26/2018
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