Organization
MARGO D RAY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGO DENICE BOLER O.D. (PRESIDENT)
(662) 893-3950
Entity
Organization
Contact information
Practice address
7950 CRAFT GOODMAN RD, OLIVE BRANCH, MS 38654-6608
(662) 893-3950
(662) 893-3950
Mailing address
7950 CRAFT GOODMAN RD, OLIVE BRANCH, MS 38654-6608
(662) 893-3950
(662) 893-3950
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
665
MS
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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