Hattiesburg Eye Clinic, PA

NPI #1831216365 in Columbia, Mississippi

Provider Information

NPI Number: 1831216365
Entity Type: Organization
Organization Name: Hattiesburg Eye Clinic, PA
Primary Specialty: Ophthalmology
Enumeration Date: Mar 22, 2007
Last Updated: Dec 16, 2009

Practice Location

Address: 1010 HIGHWAY 13 N
City: Columbia
State: Mississippi
ZIP Code: 39429-2047
Phone: (601) 736-1715

Authorized Official

Name: MR. EDDIE SMITH
Title: ADMINISTRATOR
Phone: (601) 268-5910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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