Everett, Thurman Keith

Everett, Thurman Keith is an individual health care provider with primary practice located at 2300 12Th St , Meridian MS 39301-3933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Everett, Thurman Keith can be contacted via phone (601) 483-2616.

Contact Information

Primary practice address
2300 12Th St Meridian MS 39301-3933
Fax: (601) 485-7282
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 08727 Mississippi

Profile Details

NPI number 1356449078
LBN Legal business name Everett, Thurman Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356449078 NPPES
Mississippi Other 08727 STATE MEDICAL LISCENSE
Mississippi MEDICAID 00010282 STATE MEDICAL LISCENSE

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