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Individual

PHILLIP A HOOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
726 GOODMAN RD E, # B, SOUTHAVEN, MS 38671-9530
(662) 349-1959
(662) 349-0424
Mailing address
726 GOODMAN RD E, # B, SOUTHAVEN, MS 38671-9530
(662) 349-1959
(662) 349-0424

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MS744
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04679751
MS
Enumeration date
07/31/2006
Last updated
09/19/2012
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