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Southern Eye Center P.a. Ii
Medical Specialty Clinic/Center in Hattiesburg, Mississippi
NPI 1265435010

Southern Eye Center P.a. Ii is a Medical Specialty Clinic/Center based in Hattiesburg, MS and is specialized in Medical Specialty. Southern Eye Center P.a. Ii practices in Hattiesburg, MS. The NPI Number for Southern Eye Center P.a. Ii is 1265435010 and holds a License No. 010 (Mississippi).

The current practice location address for Southern Eye Center P.a. Ii is 1420 S 28Th Ave, Hattiesburg, MS and can be reached out via phone at 601-264-3937 and via fax at 601-264-5930.

Location: 1420 S 28Th Ave, Hattiesburg, MS, 39402-3107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265435010
Provider Name
Southern Eye Center P.a. Ii
Credential
Provider Entity Type
Organization
Address
1420 S 28Th Ave, Hattiesburg, MS, 39402-3107
Phone Number
601-264-3937
Fax Number
601-264-5930
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00770066 05 MS
09014315 05 MS
institution
Provider Business Practice Location Address Details
Address
1420 S 28Th Ave
City
Hattiesburg
State
Mississippi
Zip
39402-3107
Phone Number
601-264-3937
Fax Number
601-264-5930
person
Provider Business Mailing Address Details
Address
1420 S 28Th Ave
City
Hattiesburg
State
Mississippi
Zip
39402-3107
Phone Number
601-264-3937
Fax Number
601-264-5930
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
010 (Mississippi)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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