Shawn Paul Doherty OD

NPI 1043200553 - Optometrist - 152W00000X

NPI Details
NPI 1043200553
Gender Male
Enumeration Date 10/26/2005
Last Updated 04/22/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
611 FRANKLIN ST
NATCHEZ MS, 39120-3311, US
Phone (601) 445-4282
Fax
Business Location
611 FRANKLIN ST
NATCHEZ MS, 39120-3311, US
Phone (601) 445-4282
Fax (601) 445-9197
Toxanomy
Taxonomy Code 152W00000X
License State Mississippi
License Number MS511
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According to our database, Dr. Shawn Paul Doherty OD NPI is 1043200553, taxonomy code is 152W00000X and license number is MS511, license state is located at Mississippi. Shawn Paul Doherty OD physically located at 611 Franklin St, Natchez MS, 39120-3311. NPI Number Shawn Paul Doherty OD has the Individual type.

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1043200553 NPI number is provided on an as is basis without warranty of any kind. 1043200553 is maintained by the National Plan & Provider Enumeration System. The contents of Shawn Paul Doherty OD are for informational purposes only.