Dr R C Shackelford Optometrist
NPI #1306008719 in Hernando, Mississippi
Provider Information
- NPI Number
- 1306008719
- Entity Type
- Organization
- Organization Name
- Dr R C Shackelford Optometrist
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 26, 2008
- Last Updated
- Jun 12, 2019
Practice Location
- Address
- 2350 MOUNT PLEASANT RD
- City
- Hernando
- State
- Mississippi
- ZIP Code
- 38632-1909
- Phone
- (662) 429-4448
Authorized Official
- Name
- DR. RAYMOND CALVIN SHACKELFORD, OD
- Title
- OWNER
- Phone
- (662) 429-4448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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