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Organization

TATE COUNTY VISION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENN GOLDRING O.D. (OPTOMETRIST)
(662) 562-5500
Entity
Organization

Contact information

Practice address
106 E MAIN ST, SENATOBIA, MS 38668-2138
(662) 562-5500
Mailing address
106 E MAIN ST, SENATOBIA, MS 38668-2138
(662) 562-5500

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
468
MS

Other

Enumeration date
05/18/2015
Last updated
05/18/2015
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