Organization
SGEC, INC
Active
Other names
Simpson General Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASPER T MCCULLOUGH O.D. (OWNER)
(601) 847-6600
Entity
Organization
Contact information
Practice address
1827 C SIMPSON HIGHWAY 149, MENDENHALL, MS 39114-3439
(601) 847-6600
(601) 847-6606
Mailing address
1827 C SIMPSON HIGHWAY 149, MENDENHALL, MS 39114-3439
(601) 847-6600
(601) 847-6606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
420
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087046
—
MS
Enumeration date
08/07/2012
Last updated
01/16/2013
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