Thomas Anthony Mayer, CFA

Individual provider Active NPI Surgical Assistant · Saucier, MS

NPI 1457680928 · NPPES record last updated Dec 13, 2009

Key facts

NPI
1457680928
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Assistant 246ZC0007X
License
115769 (MS)
Practice address
22136 Houston Ladner Rd
Saucier, MS 39574-7162
Phone
(228) 224-4249
NPI assigned
Dec 13, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
115769MSMDSurgical Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 115769 MS Yes

Addresses

Primary practice location

22136 Houston Ladner Rd
Saucier, MS 39574-7162

Mailing address

22136 Houston Ladner Rd
Saucier, MS 39574-7162
Phone (228) 224-4249

Other providers in Saucier, MS

All providers in Saucier, MS · Surgical Assistant in Mississippi

Sources for this page

Verify at the official NPI Registry.