Individual
JAMES C THRIFFILEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1639 E PASS RD, GULFPORT, MS 39507
(228) 822-2663
(228) 604-2255
Mailing address
1639 E PASS RD, GULFPORT, MS 39507-3542
(228) 822-2663
(228) 604-2255
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15285
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00127085
—
MS
01
—
1568410058
GROUP DME NPI
MS
01
—
DA3947
MEDICARE RR
MS
Enumeration date
07/18/2005
Last updated
05/29/2018
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