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Individual

DR. WILLIAM SAMUEL ASHLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1808 MISSION 66, VICKSBURG, MS 39180-3710
(601) 636-6364
(601) 636-1162
Mailing address
1808 MISSION 66, VICKSBURG, MS 39180-3710
(601) 636-6364
(601) 636-1162

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
487
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00087909
MS
Enumeration date
08/30/2006
Last updated
02/21/2012
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