Organization
EYE & LASER CENTER OF STARKVILLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SAMUEL BROWN III MD (OWNER)
(662) 320-6555
Entity
Organization
Contact information
Practice address
100 WALKER WAY, STARKVILLE, MS 39759-6607
(662) 320-6555
(662) 320-6566
Mailing address
100 WALKER WAY, STARKVILLE, MS 39759-6607
(662) 320-6555
(662) 320-6566
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16037
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126317
—
MS
01
—
1336231489
INDIVIDUAL NPI
MS
01
—
1689703324
GROUP NPI
MS
Enumeration date
06/15/2018
Last updated
06/15/2018
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