Individual
DR. JOHNEEN GILICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
235 FRONTAGE RD, PICAYUNE, MS 39466-7587
(228) 861-6989
(601) 799-4685
Mailing address
2318 PASS RD STE 1, BILOXI, MS 39531-4044
(228) 967-7813
(228) 967-7814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1428-569T
LA
152W00000X
Optometrist
Primary
764
MS
Other
Enumeration date
11/03/2006
Last updated
10/23/2020
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