Organization
TOTAL EYE CARE OF FULTON P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHU HATFIELD OD (PRESIDENT)
(662) 687-2878
Entity
Organization
Contact information
Practice address
607B EARL FRYE BLVD, AMORY, MS 38821-5503
(662) 256-9711
Mailing address
607B EARL FRYE BLVD, AMORY, MS 38821-5503
(662) 256-9711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
808
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06506386
—
MS
Enumeration date
08/16/2017
Last updated
08/16/2017
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