NPI | 1902008162 |
---|---|
Doing Business As | CAMPBELL, CUNNINGHAM, & TAYLOR OPTICAL DISPENSARY |
Entity Type | Organization |
Authorized Contact | RHONDA MICHELLE GARRISON Credentialing Coord. 865-584-2127 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 645010002) |
Enumeration Date | 2007-06-01 |
Last Update Date | 2019-06-25 |