person
Mr. Charles Edward Anderson III
Ocularist in Jackson, Mississippi
NPI 1316004039

Charles Edward Anderson III is a Ocularist based in Jackson, MS and is specialized in Ocularist. Charles Edward Anderson III practices in Jackson, MS. The NPI Number for Charles Edward Anderson III is 1316004039 and holds a License No. UNLICENSED STATE (Mississippi).

The current practice location address for Charles Edward Anderson III is 4800 I-55 North, Jackson, MS and can be reached out via phone at 601-948-0582 and via fax at 601-362-1392. You can also correspond with Charles Edward Anderson III through the mailing address at 4800 I-55 NORTH, JACKSON, MS - 39211-5555 (mailing address contact number: 601-948-0582).

Location: 4800 I-55 North, Jackson, MS, 39211-5555
person
Provider Profile Details
NPI Number
1316004039
Provider Name
Charles Edward Anderson III
Credential
Provider Entity Type
Individual
Gender
Male
Address
4800 I-55 North, Jackson, MS, 39211-5555
Phone Number
601-948-0582
Fax Number
601-362-1392
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00089008 05 MS
institution
Provider Business Practice Location Address Details
Address
4800 I-55 North
City
State
Zip
39211-5555
Phone Number
601-948-0582
Fax Number
601-362-1392
person
Provider Business Mailing Address Details
Address
4800 I-55 North
City
State
Zip
39211-5555
Phone Number
601-948-0582
Fax Number
601-362-1392
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
License No.
UNLICENSED STATE (Mississippi)
Definition
Definition to come...
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