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Individual

TYLER THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(601) 833-6011
Mailing address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R874296
MS

Other

Enumeration date
08/05/2013
Last updated
08/05/2013
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