Sgec, INC

NPI #1760739064 in Mendenhall, Mississippi

Provider Information

NPI Number: 1760739064
Entity Type: Organization
Organization Name: Sgec, INC
Primary Specialty: Optometrist
Enumeration Date: Aug 7, 2012
Last Updated: Jan 16, 2013

Practice Location

Address: 1827 C SIMPSON HIGHWAY 149
City: Mendenhall
State: Mississippi
ZIP Code: 39114-3439
Phone: (601) 847-6600

Authorized Official

Name: DR. JASPER T MCCULLOUGH, O.D.
Title: OWNER
Phone: (601) 847-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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