Individual
RADHI DAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
940 CHURCH RD W STE C, SOUTHAVEN, MS 38671-9611
(662) 331-3937
(662) 404-8884
Mailing address
940 CHURCH RD W STE C, SOUTHAVEN, MS 38671-9611
(662) 331-3937
(662) 404-8884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1080
MS
152W00000X
Optometrist
3820
TN
Other
Enumeration date
07/06/2023
Last updated
08/12/2024
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