David Beatty Valid NPI
Individual provider · Optometrist · Brandon, MS
- NPI
- 1699183772
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 911 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-08-01
- Last updated
- 2014-08-01
Practice location
315 Crossgates Blvd Ste G
Brandon, MS 39042-2615
(601) 706-4752