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Individual

ALICEA HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
6 RIDGESIDE, HATTIESBURG, MS 39402-7879
(601) 942-7996
Mailing address
PO BOX 207173, DALLAS, TX 75320-7173
(636) 200-4393
(636) 527-0766

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
877
MS
152W00000X
Optometrist
OPT003388
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01386218
MS
Enumeration date
07/24/2013
Last updated
07/08/2022
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