# SHIPP & WOOTEN EYE CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043716665
- **Authorized official:** MR. MICHAEL PATRICK COLEMAN BSOE (ADMINISTRATOR)
- **Authorized official phone:** (662) 286-2020

## Contact information

- **Practice address:** 306 BRADLEY RD STE B, CORINTH, MS 38834-7047
- **Practice address phone:** (662) 286-6068
- **Practice address fax:** (662) 286-0188
- **Mailing address:** 306 BRADLEY RD STE B, CORINTH, MS 38834-7047
- **Mailing address phone:** (662) 286-6068
- **Mailing address fax:** (662) 286-0188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 06029 | MS | — |
| 207W00000X | Ophthalmology Physician | 19893 | MS | Yes |

## Other

- **Enumeration date:** 04/03/2018
- **Last updated:** 10/06/2022