Individual
DENITA KAYE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1122 E MAIN ST STE 6, PHILADELPHIA, MS 39350-2348
(601) 656-9900
(601) 656-9933
Mailing address
1122 E MAIN ST STE 6, PHILADELPHIA, MS 39350-2348
(601) 656-9900
(601) 656-9933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R852967
MS
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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