Individual
DR. BRENDA KAYE THORNHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2024 15TH ST, STE 5D, MERIDIAN, MS 39301-4130
(601) 553-2100
(601) 553-2104
Mailing address
2024 15TH ST, STE 5D, MERIDIAN, MS 39301-4130
(601) 553-2100
(601) 553-2104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
617
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880094
—
MS
01
—
410039252
RAILROAD MEDICARE
MS
Enumeration date
06/13/2005
Last updated
09/21/2009
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