Muddy Water Enterprises, LLC
NPI #1346501442 in Starkville, Mississippi
Provider Information
- NPI Number
- 1346501442
- Entity Type
- Organization
- Organization Name
- Muddy Water Enterprises, LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 5, 2012
- Last Updated
- Jun 5, 2012
Practice Location
- Address
- 706 HIGHWAY 12 W STE F
- City
- Starkville
- State
- Mississippi
- ZIP Code
- 39759-3573
- Phone
- (662) 323-0571
Authorized Official
- Name
- DR. REAGAN LEE FORD II, O.D.
- Title
- MANAGER
- Phone
- (662) 822-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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