Healthcare Provider Details

I. General information

NPI: 1659404986
Provider Name (Legal Business Name): E FRANKLIN RAWLINGS, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3430 BIENVILLE BLVD
OCEAN SPRINGS MS
39564-5732
US

IV. Provider business mailing address

3430 BIENVILLE BLVD
OCEAN SPRINGS MS
39564-5732
US

V. Phone/Fax

Practice location:
  • Phone: 228-875-6658
  • Fax: 228-875-0809
Mailing address:
  • Phone: 228-875-6658
  • Fax: 228-875-0809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number705
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number08831
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number18914
License Number StateMS
# 4
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number19793
License Number StateMS

VIII. Authorized Official

Name: DR. ERMAN FRANKLIN RAWLINGS
Title or Position: OWNER
Credential: MD
Phone: 228-875-6658