Individual
DR. TRACY B PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4803 POPLAR SPRINGS DR STE A, MERIDIAN, MS 39305-2691
(601) 693-0176
(601) 693-0177
Mailing address
106 MACY DR, PHILADELPHIA, MS 39350-3792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
799
MS
Other
Enumeration date
08/25/2008
Last updated
11/13/2024
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