Individual provider · Type 1 NPI

Micheal Thomas, DIRECTOR

Private Vehicle · Indianola, MS

NPI number 1154735405 Active

Practice location

216 North Ave
Indianola, MS 38751-2131

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000X800064763 (MS)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

About NPI 1154735405

Micheal Thomas, DIRECTOR's National Provider Identifier is 1154735405, issued on Jun 15, 2014. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Indianola, MS. The record was last updated on Jun 15, 2014.