NPI | 1093420671 |
---|---|
Doing Business As | MAGNOLIA EYE GROUP |
Entity Type | Organization |
Authorized Contact | STEPHEN PATRICK EDWARDS Owner 662-473-2181 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2023-01-18 |
Last Update Date | 2023-01-18 |