Individual
PHILLIP JAMISON SOWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2541 RACCOON RD, RACCOON, KY 41557-8369
(606) 422-5653
Mailing address
2541 RACCOON RD, RACCOON, KY 41557-8369
(606) 422-5653
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2332DT
KY
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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