THOMAS CARROLL FENTER

FLOWOOD, MS
NPI1225260524
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: MS  5982)
Enumeration Date2009-08-20
Last Update Date2009-08-20
Business Address
-- THOMAS CARROLL FENTER MD
3545 LAKELAND DR
FLOWOOD, MS 39232-8839
Phone number: 601-664-5116
Mailing Address
-- THOMAS CARROLL FENTER MD
3545 LAKELAND DR
FLOWOOD, MS 39232-8839
Phone number: 601-664-5116