Organization
HOLLY SPRINGS EYECARE PLLC
Active
Other names
Magnolia Eye Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN P EDWARDS OD (MANAGING DIRECTOR)
(662) 473-2181
Entity
Organization
Contact information
Practice address
130 W VAN DORN AVE, HOLLY SPRINGS, MS 38635-2902
(662) 252-3323
Mailing address
130 W VAN DORN AVE, HOLLY SPRINGS, MS 38635-2902
(662) 252-3323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05784776
—
MS
Enumeration date
10/12/2006
Last updated
06/19/2023
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