| NPI | 1033383310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY GODSEY Owner 423-282-1932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TN dpo174) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-05-06 |