Individual
DR. JASMINE SHALISA DELOACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1823 5TH ST N, COLUMBUS, MS 39705-2203
(662) 328-5225
Mailing address
9028 HWY 45 SOUTH ALTERNATE, CRAWFORD, MS 39743
(662) 328-5225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1097
MS
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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