Individual
DR. ROBERT W SHAPPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 CHILDS ST, CORINTH, MS 38834-4933
(662) 286-6171
(662) 287-3937
Mailing address
804 CHILDS ST, CORINTH, MS 38834-4933
(662) 286-6171
(662) 287-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
542
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880143
—
MS
Enumeration date
04/23/2007
Last updated
07/08/2007
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