DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH G TICE DPM PLLC

Active Organization

Podiatrist · JACKSON, MS

Registration Details

NPI Number
1245404185
Provider Type
Organization
NPI Issued
Apr 22, 2008 (17.99867360055 yrs)
Last Updated
Aug 20, 2014
License
80188 (MS)

Practice Information

Address
1860 CHADWICK DRIVE
SUITE 106
JACKSON, MS, 39204
Browse MS providers · Browse ZIP 39204
Phone
6013762963
Fax
6013762967
Primary Specialty
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.