Individual
ROYCE VANDIVER MILES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3027 JEFFERSON ST, MACON, MS 39341-2275
(662) 726-6111
(662) 726-6110
Mailing address
3027 JEFFERSON ST, MACON, MS 39341-2275
(662) 726-6111
(662) 726-6110
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
995
MS
Other
Enumeration date
07/15/2019
Last updated
09/06/2023
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