NPI | 1326404401 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES B SHIPP Part Owner/ Physician 601-672-4228 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MS 20923) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MS 824) |
Enumeration Date | 2016-01-05 |
Last Update Date | 2016-01-07 |