Individual
DR. BRIAN SCOTT CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5520 HIGHWAY 80 E, PEARL, MS 39208-8926
(601) 932-1890
(601) 932-3119
Mailing address
5520 HIGHWAY 80 E, PEARL, MS 39208-8926
(601) 932-1890
(601) 932-3119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
590
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03755233
—
MS
01
—
07321
SPECTERA
MS
Enumeration date
03/14/2007
Last updated
07/08/2007
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