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Individual

DR. ROYA ATTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216
(601) 984-5036
Mailing address
147 SYCAMORE ST, PIKEVILLE, KY 41501-9118
(606) 218-5512

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1974DT
KY
152W00000X
Optometrist
8202-T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100437440
KY
Enumeration date
03/24/2014
Last updated
07/26/2018
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