Individual
DR. MINH TAN DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4721 26TH AVE, MERIDIAN, MS 39305-4703
(601) 485-2020
(601) 581-1662
Mailing address
4721 26TH AVE, MERIDIAN, MS 39305-4703
(601) 485-2020
(601) 581-1662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
704
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05087873
—
MS
Enumeration date
08/31/2006
Last updated
10/18/2010
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