Theon Walley

NPI 1265729941 - Hearing Instrument Specialist - 237700000X

NPI Details
NPI 1265729941
Gender Male
Enumeration Date 07/01/2011
Last Updated 07/01/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1417 23RD AVE
MERIDIAN MS, 39301-4024, US
Phone (601) 693-6626
Fax (601) 693-6676
Business Location
PO BOX 17167
HATTIESBURG MS, 39404-7167, US
Phone (601) 261-5995
Fax (601) 261-5335
Toxanomy
Taxonomy Code 237700000X
License State Mississippi
License Number HA227
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According to our database, Mr. Theon Walley NPI is 1265729941, taxonomy code is 237700000X and license number is HA227, license state is located at Mississippi. Theon Walley physically located at 1417 23rd Ave, Meridian MS, 39301-4024. NPI Number Theon Walley has the Individual type.

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1265729941 NPI number is provided on an as is basis without warranty of any kind. 1265729941 is maintained by the National Plan & Provider Enumeration System. The contents of Theon Walley are for informational purposes only.