Organization
ROBERT MARSHALL THARP, JR, OD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MARSHALL THARP JR. O.D. (PRESIDENT)
(601) 991-9723
Entity
Organization
Contact information
Practice address
6351 INTERSTATE 55 NORTH, STE. 115-B, JACKSON, MS 39213
(601) 991-9723
(601) 991-9745
Mailing address
6351 INTERSTATE 55 NORTH, STE. 115-B, JACKSON, MS 39213
(601) 991-9723
(601) 991-9745
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014792
—
MS
Enumeration date
11/17/2006
Last updated
05/06/2010
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