Individual
DR. RYAN SHELTON WALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2167 S LAMAR BLVD, OXFORD, MS 38655-5223
(662) 234-6683
(662) 234-6683
Mailing address
2167 S LAMAR BLVD, OXFORD, MS 38655-5223
(662) 234-6683
(662) 234-6683
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
796
MS
Other
Enumeration date
07/16/2008
Last updated
10/20/2023
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