NPI | 1902190952 |
---|---|
Doing Business As | GILLIGAN'S EYE-LAND |
Entity Type | Organization |
Authorized Contact | ROBERT F. GILLIGAN Owner 601-620-7307 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1169) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2011-06-07 |