| NPI | 1710260310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYATTA T HAIRSTON Owner/Optometrist 601-987-3937 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MS 658) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: MS 844) |
| 261QH0100X Clinic/Center, Health Services (Licence: MS 825) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |