Individual
HANNAH MASSENGALE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
908 SIXTH AVE, PICAYUNE, MS 39466-3802
(601) 798-4182
Mailing address
908 SIXTH AVE, PICAYUNE, MS 39466-3802
(601) 798-4182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1088P-Y
MS
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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