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Organization
SOUTHERN EYE CENTER P.A. II
Active
Organization
SOUTHERN EYE CENTER P.A. II
Active
Other names
Southern Eye Center of Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WEEMS (ADMINISTRATOR)
(601) 264-3937
Entity
Organization
Contact information
Practice address
1420 S 28TH AVE, HATTIESBURG, MS 39402-3107
(601) 264-3937
(601) 264-5930
Mailing address
1420 S 28TH AVE, HATTIESBURG, MS 39402-3107
(601) 264-3937
(601) 264-5930
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
010
MS
Other
Enumeration date
05/24/2005
Last updated
08/15/2008
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