Individual
MR. THOMAS EDWARD LANDON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
38 PASS RD A, GULFPORT, MS 39507-3107
(228) 865-4464
(228) 865-1331
Mailing address
38 PASS RD A, GULFPORT, MS 39507-3107
(228) 865-4464
(228) 865-1331
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R860221
MS
Other
Enumeration date
06/30/2009
Last updated
09/18/2015
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