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Bethany South, OD

NPI 1316137052 · on the registry since 2007

Practice

Address
16 South 16th St
Bay Springs, MS 39422
Phone
(601) 764-2120
Fax
(601) 764-3410

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
Licence states on file
CA, MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-01-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi