OrganizationActive
Elizabeth G Tice DPM PLLC
NPI 1245404185 · Podiatrist · Jackson, MS
Provider details
- NPI number
- 1245404185
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Elizabeth Tice, Physician/Owner
- License
- 80188 (MS)
Practice location
1860 Chadwick Drive
Suite 106
Jackson, MS 39204
Phone: (601) 376-2963
Fax: (601) 376-2967
Mailing address
1860 Chadwick Drive
Jackson, MS 39204
Registry dates
- Enumerated
- 2008-04-22
- Last updated
- 2014-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.