Individual
DR. ANNA TAYLOR MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
59 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090-3433
(662) 289-1067
Mailing address
PO BOX 778, KOSCIUSKO, MS 39090-0778
(662) 289-1067
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
838
MS
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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