Provider Demographics
NPI:1700317211
Name:THIGPEN, MELINDA (DEM)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:
Last Name:THIGPEN
Suffix:
Gender:F
Credentials:DEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 COUNTY ROAD 2338
Mailing Address - Street 2:
Mailing Address - City:BAY SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39422-2001
Mailing Address - Country:US
Mailing Address - Phone:601-670-6563
Mailing Address - Fax:
Practice Address - Street 1:52 COUNTY ROAD 2338
Practice Address - Street 2:
Practice Address - City:BAY SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39422-2001
Practice Address - Country:US
Practice Address - Phone:601-670-6563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-26
Last Update Date:2017-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay