Healthcare Provider Details

I. General information

NPI: 1013727429
Provider Name (Legal Business Name): MICHAEL DILLON TOTH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SUNSET DR
CLINTON MS
39056-5212
US

IV. Provider business mailing address

100 SUNSET DR
CLINTON MS
39056-5212
US

V. Phone/Fax

Practice location:
  • Phone: 601-692-3930
  • Fax:
Mailing address:
  • Phone: 601-692-3930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: