Individual
DAVID BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 CROSSGATES BLVD STE G, BRANDON, MS 39042-2615
(601) 706-4752
Mailing address
3127 GREENFIELD RD LOT 22, PEARL, MS 39208-8708
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
911
MS
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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