STAN JORDAN WHITLEY

COVINGTON, TN
NPI1568570232
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: TN  909T)
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
-- STAN JORDAN WHITLEY OD
312 SOUTH MAIN ST
COVINGTON, TN 38019
Phone number: 901-476-8614
Mailing Address
-- STAN JORDAN WHITLEY OD
312 SOUTH MAIN ST
COVINGTON, TN 38019
Phone number: 901-476-8614
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