Organization
CHARLES E MCMASTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA DUNCAN (BILLER)
(601) 878-6945
Entity
Organization
Contact information
Practice address
120 PROMENADE BLVD, FLOWOOD, MS 39232-8017
(601) 992-1010
(601) 992-7700
Mailing address
PO BOX 3144, RIDGELAND, MS 39158-3144
(601) 992-1010
(601) 992-7700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
530
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01538278
—
MS
Enumeration date
06/14/2012
Last updated
06/14/2012
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