Individual
MELISSA J THIERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3109 SHORTCUT RD, PASCAGOULA, MS 39567-1811
(228) 202-5182
(228) 202-5184
Mailing address
PO BOX 3488, DEPT 05-115, TUPELO, MS 38803-3488
(888) 818-0563
(228) 284-0622
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0110003996
VA
363AM0700X
Medical Physician Assistant
Primary
PA00343
MS
Other
Enumeration date
09/26/2012
Last updated
10/22/2024
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