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NPI Code Detail

MEDICARE: DR. MICHAEL SHAWN HELLUMS O.D.

MEDICARE: DR. MICHAEL SHAWN HELLUMS O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist649MS

General Provider Information

NPI Number : 1083659684
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL SHAWN HELLUMS O.D.
Provider Business Mailing Address
First Line : PO BOX 557
Second Line :
City : NESBIT
State : MS
Zip : 38651-0557
Country : US
Telephone Number : 662-561-1234
Fax Number : 662-729-4510
Provider Business Practice Location Address
First Line : 6465 N QUAIL HOLLOW RD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-1448
Country : US
Telephone Number : 662-349-0320
Fax Number : 662-349-1389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 03/19/2026

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