Hattiesburg Eye Clinic PA

NPI #1962679043 in Petal, Mississippi

Provider Information

NPI Number: 1962679043
Entity Type: Organization
Organization Name: Hattiesburg Eye Clinic PA
Primary Specialty: Optometrist
Enumeration Date: May 8, 2008
Last Updated: May 8, 2008

Practice Location

Address: 1223 HWY 42
Address 2: STE 140
City: Petal
State: Mississippi
ZIP Code: 39465
Phone: (601) 445-0226

Authorized Official

Name: STONEY WILLIAMSON, MD
Title: PRESIDENT
Phone: (601) 268-5910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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