| |
210 Hospital Cir, Choctaw, MS 39350-6781 | |
(601) 656-2211 | |
(601) 663-7721 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 210 Hospital Cir, Choctaw, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114240421 | NPI | - | NPPES |
09014324 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Mississippi) | Primary |
Mailing Address | Practice Location Address |
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210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211 | 210 Hospital Cir, Choctaw, MS 39350-6781 Ph: (601) 656-2211 |