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Individual

LEESA HOGG SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1607 HIGHWAY 1 S, GREENVILLE, MS 38701-7832
(662) 378-2085
(662) 334-4593
Mailing address
1607 HIGHWAY 1 S, GREENVILLE, MS 38701-7832
(662) 378-2085
(662) 334-4593

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
551
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00880066
MS
Enumeration date
09/25/2006
Last updated
02/10/2010
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