| Landy Headache & Esthetics, Llc | |
|
311 S Gloster St Ste 103 Tupelo MS 38801-4747 | |
| (662) 401-6400 | |
| Not Available |
| Full Name | Landy Headache & Esthetics, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 311 S Gloster St Ste 103, Tupelo, Mississippi |
| Authorized Official Name and Position | Stephen Hall Landy (OWNER) |
| Authorized Official Contact | 6624016400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Landy Headache & Esthetics, Llc 310 S Gloster St Ste 103 Tupelo MS 38801 Ph: (662) 401-6400 | Landy Headache & Esthetics, Llc 311 S Gloster St Ste 103 Tupelo MS 38801-4747 Ph: (662) 401-6400 |
| NPI Number | 1033740089 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 04/14/2020 |
| Certification Date | 04/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033740089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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