| |
107 Decatur St, Newton, MS 39345-2309 | |
(601) 683-3241 | |
(601) 683-3233 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 107 Decatur St, Newton, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255471439 | NPI | - | NPPES |
00087007 | Medicaid | MS | |
09351503 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 560 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 628, Philadelphia, MS 39350 Ph: (662) 446-9000 | 107 Decatur St, Newton, MS 39345-2309 Ph: (601) 683-3241 |
Dr. William Gil Davis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 Decatur St, Newton, MS 39345 Phone: 601-683-3241 Fax: 601-683-3233 |