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Individual

BETHANY G HARRINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1716 S MAIN ST, POPLARVILLE, MS 39470-4287
(601) 795-0137
(601) 795-0148
Mailing address
PO BOX 521, POPLARVILLE, MS 39470-0521
(601) 795-0137
(601) 795-0148

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
685
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00880221
MS
05
05785365
MS
01
1962800011
POPLARVILLE EYE CLINIC NPI
MS
01
C02306
MEDICARE GROUP
MS
01
U92635640789939
UNITED HEALTH CARE
MS
Enumeration date
03/17/2006
Last updated
11/28/2023
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