Ted Gene Harden II, OD

NPI #1396939542 in Petal, Mississippi

Provider Information

NPI Number: 1396939542
Entity Type: Individual
Name: Ted Gene Harden II, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 30, 2007
Last Updated: May 1, 2008

Practice Location

Address: 1223 HIGHWAY 42
Address 2: STE 140
City: Petal
State: Mississippi
ZIP Code: 39465-2843
Phone: (601) 450-2260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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