Individual
DR. GREGGORY E THARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2695 FLOWOOD DRIVE, JACKSON, MS 39232
(601) 939-4100
(601) 939-4081
Mailing address
2695 FLOWOOD DR., FLOWOOD, MS 39232
(601) 939-4100
(601) 939-4081
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
PROS-353-02
MS
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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