Individual
JUSTIN MCELROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6947 CRUMPLER BLVD, OLIVE BRANCH, MS 38654-1922
(662) 893-3300
(662) 893-3301
Mailing address
6947 CRUMPLER BLVD, OLIVE BRANCH, MS 38654-1922
(662) 893-3300
(662) 893-3301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
962
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
962
MISSISSIPPI STATE BOARD OF OPTOMETRY
MS
Enumeration date
07/19/2017
Last updated
07/21/2022
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