Organization
HATTIESBURG EYE CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE SMITH (ADMINISTRATOR)
(601) 268-5910
Entity
Organization
Contact information
Practice address
5901 HWY 49 SOUTH, HATTIESBURG, MS 39402
(601) 450-4733
Mailing address
100 HOSPITAL DR W, HATTIESBURG, MS 39402-1334
(601) 268-5910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1428569T
LA
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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