Individual
SCOTT S PALADICHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
100 HOSPITAL DR W, HATTIESBURG, MS 39402-1334
(601) 268-5910
(601) 264-0659
Mailing address
100 HOSPITAL DR W, HATTIESBURG, MS 39402-1334
(601) 268-5910
(601) 264-0659
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2895
TN
152W00000X
Optometrist
Primary
829
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00154827
—
MS
01
—
1160823
CIGNA
MS
01
—
6041813
HEALTHSPRING
MS
01
—
9036592
AETNA
MS
Enumeration date
01/16/2009
Last updated
01/05/2015
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