Rolling Fork Eye Clinic
NPI #1013130988 in Rolling Fork, Mississippi
Provider Information
- NPI Number
- 1013130988
- Entity Type
- Organization
- Organization Name
- Rolling Fork Eye Clinic
- Primary Specialty
- Optometrist
- Enumeration Date
- Apr 10, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 64 S FOURTH ST
- City
- Rolling Fork
- State
- Mississippi
- ZIP Code
- 39159-5147
- Phone
- (662) 873-4045
Authorized Official
- Name
- MS. RUTH C ANDERSON
- Title
- PRACTICE MANAGER
- Phone
- (662) 332-0163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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