NPI | 1629225354 |
---|---|
Former Legal Business Name | KIMBERLY HARRELL, O.D. |
Entity Type | Organization |
Authorized Contact | KIMBERLY HARRELL Owner 601-684-3688 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MS 780) |
Enumeration Date | 2008-08-25 |
Last Update Date | 2014-05-30 |