Individual
MR. ARTHUR THOMAS ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
3040 GOODMAN ROAD, SUITE C, HORN LAKE, MS 38637-1189
(662) 280-3428
(662) 280-1736
Mailing address
5185 NAIL ROAD, OLIVE BRANCH, MS 38654-8245
(662) 895-6738
(662) 280-1736
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-025
MS
Other
Enumeration date
10/24/2005
Last updated
11/20/2009
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