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Max M Edrington Optometrist PA

Optometrist in Long Beach, MS. Organization (NPI-2).

NPI number1720249279
StatusActive
Last updated in NPPESAug 1, 2013

Details

NPI
1720249279
Entity type
Organization (NPI-2)
Legal business name
Max M Edrington Optometrist PA
Organization subpart
No
Enumeration date
Jun 18, 2008
Last updated
Aug 1, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

202 E Railroad St
Long Beach, MS 39560-4627

Phone 228-868-2020 · Fax 228-863-2695

Mailing address

Po Box 979
Long Beach, MS 39560-0979

Phone 228-868-2020 · Fax 228-863-2695

Authorized official

Max M Edrington
Owner
2288682020

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