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
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | 800064763 (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.