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1245404185
ELIZABETH G TICE DPM PLLC
JACKSON, MS
NPI
1245404185
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Entity Type
Organization
Authorized Contact
ELIZABETH G TICE
Physician/Owner
601-376-2963
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: MS 80188)
Enumeration Date
2008-04-22
Last Update Date
2014-08-20
Business Address
ELIZABETH G TICE DPM PLLC
1860 CHADWICK DRIVE SUITE 106
JACKSON, MS 39204
Phone number: 601-376-2963
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Mailing Address
ELIZABETH G TICE DPM PLLC
1860 CHADWICK DRIVE SUITE 106
JACKSON, MS 39204
Phone number: 601-376-2963
Copy
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