Individual provider · Type 1 NPI
Melissa J. Thierry, PA-C
Medical Physician Assistant · Pascagoula, MS
NPI number
1841541158
Active
Practice location
3109 Shortcut Rd
Pascagoula, MS 39567-1811
Fax (228) 202-5184
Mailing address
PO Box 3488, Dept 05-115
Tupelo, MS 38803-3488
Other practice locations
- 1157 First Colonial Rd, Ste 300, Virginia Beach, VA 23454-2432 · (757) 333-8001
- 24 Marks Rd, Ocean Springs, MS 39564-4350 · (228) 202-5152
- 3109 Shortcut Rd, Pascagoula, MS 39567-1811 · (228) 864-3300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110003996 (VA) |
| Medical Physician Assistant Primary | 363AM0700X | PA00343 (MS) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Pascagoula
About NPI 1841541158
Melissa J. Thierry, PA-C's National Provider Identifier is 1841541158, issued on Sep 26, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pascagoula, MS. The record was last updated on Oct 22, 2024.