| NPI | 1548385602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ALLEN GRAYSON O PT Ician 601-693-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MS 23648) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |