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DR. SALLYE S. SCOTT OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1497783864

Individual Registrant:
DR. SALLYE S. SCOTT OD
Gender: F
Sole Proprietor

Location and contact information for practice:
119 S MAIN STREET  SARDIS, MS 38666 US
Tel: 662-487-1316  Fax: 662-487-9270

Contact information for business:
PO BOX 385  SARDIS, MS 38666-0385 US
Tel: 662-487-1316  Fax: 662-487-9270

Registration Information:
NPI: 1497783864
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
MS472

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00087881MS05




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