Organization
SOUTHWEST MISSISSIPPI EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARITY SASSER (ADMINISTRATOR)
(601) 684-3112
Entity
Organization
Contact information
Practice address
414B MARION AVE, MCCOMB, MS 39648-2710
(601) 684-3112
(601) 249-3290
Mailing address
414B MARION AVE, MCCOMB, MS 39648-2710
(601) 684-3112
(601) 249-3210
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21180
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05230868
—
MS
Enumeration date
02/21/2007
Last updated
12/03/2009
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