Individual
BENJAMIN RUSSELL FRAYSUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7148 U S HIGHWAY 98 STE 201, HATTIESBURG, MS 39402-9133
(601) 271-2020
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-6000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1099
MS
Other
Enumeration date
02/14/2024
Last updated
08/05/2024
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