Individual
MAX M EDRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTOMETRIST
Contact information
Practice address
202 E RAILROAD ST, LONG BEACH, MS 39560
(228) 868-2020
(228) 863-2695
Mailing address
PO BOX 979, LONG BEACH, MS 39560
(228) 868-2020
(228) 863-2695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
431
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087660
—
MS
Enumeration date
07/09/2006
Last updated
09/26/2013
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