THEO HOWARD EZELL

GOODLETTSVILLE, TN
NPI1033386230
Professional NameTHEO HOWARD EZELL
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: TN  OD 493)
Enumeration Date2008-05-15
Last Update Date2008-05-15
Business Address
Dr. THEO HOWARD EZELL O.D.
525 RIVERGATE PKWY SUITE # 2
GOODLETTSVILLE, TN 37072-2078
Phone number: 615-859-1928
Mailing Address
Dr. THEO HOWARD EZELL O.D.
525 RIVERGATE PKWY SUITE # 2
GOODLETTSVILLE, TN 37072-2078
Phone number: 615-859-1928