NPI | 1821294505 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES FLOYD BIBB President 615-329-1731 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TN DPO226) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2008-02-11 |