Raymond Calvin Shackelford, OD

NPI #1558499640 in Hernando, Mississippi

Provider Information

NPI Number: 1558499640
Entity Type: Individual
Name: Raymond Calvin Shackelford, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2350 MT PLEASANT RD
City: Hernando
State: Mississippi
ZIP Code: 38632-1909
Phone: (662) 429-4448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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