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NPI Provider: 1396793188
Contact Name: Moore Stephen James
Position: Owner/Optometrist
Phone: (601) 894-6556
Hazlehurst Vision Clinic Information:
Hazlehurst Vision Clinic organization have npi 1396793188, taxonomy code is 152WC0802X with license number is 566 in . This Business address located in 247 North Caldwell Dr., Hazlehurst, MS 39083 Mississippi.
Practice Location
Address: 247 North Caldwell Dr., Hazlehurst, MS 39083
Phone: (601) 894-6556
Business Location
Address: 247 North Caldwell Dr., Hazlehurst, MS 39083
Phone: (601) 894-6556
Fax: (601) 894-6552
Taxonomy
Taxonomy Code: 152WC0802X
License Number: 566
License Number of State: MS
Primary Taxonomy Switch: Y
Enumeration Date: 5/4/2006
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