Individual
DR. MICHAEL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6704 OLD CANTON RD, RIDGELAND, MS 39157-1225
(601) 957-9292
Mailing address
6704 OLD CANTON RD, RIDGELAND, MS 39157-1225
(601) 957-9292
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
781
MS
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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