Individual
DR. MICKEY E. CROSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
406 BRIARWOOD DR STE 401, JACKSON, MS 39206-3063
(601) 956-2000
Mailing address
406 BRIARWOOD DR STE 401, JACKSON, MS 39206-3063
(601) 956-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
247989
MS
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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