Channing F Bucklew, O.D.

NPI #1699320929 in Louisville, Mississippi

Provider Information

NPI Number: 1699320929
Entity Type: Individual
Name: Channing F Bucklew, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 5, 2019
Last Updated: May 24, 2022

Practice Location

Address: 14994 W MAIN ST
City: Louisville
State: Mississippi
ZIP Code: 39339-2616
Phone: (662) 773-3494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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