GREGORY CLINTON RUSSELL

KINGSPORT, TN
NPI1033144225
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: TN  ODT1813)
Enumeration Date2006-07-12
Last Update Date2007-07-09
Business Address
Dr. GREGORY CLINTON RUSSELL O.D.
102 PROFESSIONAL PARK PVT DR
KINGSPORT, TN 37663-2287
Phone number: 423-245-2222
Mailing Address
Dr. GREGORY CLINTON RUSSELL O.D.
102 PROFESSIONAL PARK PVT DR
KINGSPORT, TN 37663-2287
Phone number: 423-245-2222
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