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Organization
HAZLEHURST VISION CLINIC
Active
Organization
HAZLEHURST VISION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES STEPHEN MOORE O.D. (OWNER/OPTOMETRIST)
(601) 894-6556
Entity
Organization
Contact information
Practice address
247 NORTH CALDWELL DR., SUITE B, HAZLEHURST, MS 39083
(601) 894-6556
(601) 894-6552
Mailing address
247 NORTH CALDWELL DR., SUITE B, HAZLEHURST, MS 39083
(601) 894-6556
(601) 894-6552
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
566
MS
Other
Enumeration date
05/04/2006
Last updated
08/22/2020
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