Organization
HATTIESBURG EYE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE SMITH (ADMINISTRATOR)
(601) 268-5910
Entity
Organization
Contact information
Practice address
1010 HIGHWAY 13 N, COLUMBIA, MS 39429-2047
(601) 736-1715
Mailing address
100 HOSPITAL DR W, HATTIESBURG, MS 39402-1334
(601) 268-5910
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
12/16/2009
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