Organization
MISSISSIPPI EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANNA MICHELLE MCMILLIAN (OFFICE MANAGER)
(228) 875-2020
Entity
Organization
Contact information
Practice address
3631 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5702
(228) 875-2020
Mailing address
3631 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5702
(228) 875-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12585
MS
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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