Individual
MS. TINA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAT, ATC
Contact information
Practice address
507 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2334
(601) 748-5406
Mailing address
507 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2334
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0343
MS
Other
Enumeration date
07/11/2016
Last updated
08/15/2016
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