Organization
TED HARDEN OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED GENE HARDEN OD (OPTOMETRIST)
(601) 268-6698
Entity
Organization
Contact information
Practice address
5901 U S HIGHWAY 49, HATTIESBURG, MS 39402-2858
(601) 268-6698
Mailing address
110 LONGWOOD TERRACE, HATTIESBURG, MS 39402
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
786
MS
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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