Southern Eye Center P.a. II
NPI #1265435010 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1265435010
- Entity Type
- Organization
- Organization Name
- Southern Eye Center P.a. II
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- May 24, 2005
- Last Updated
- Aug 15, 2008
Practice Location
- Address
- 1420 S 28TH AVE
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-3107
- Phone
- (601) 264-3937
Authorized Official
- Name
- MR. JOHN WEEMS
- Title
- ADMINISTRATOR
- Phone
- (601) 264-3937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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