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Individual

DR. VIRGILIO P GOZUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5238 MAIN ST, SPRING HILL, TN 37174
(931) 489-1950
Mailing address
5238 MAIN ST, SPRING HILL, TN 37174-2443
(931) 489-1950

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3245
TN
152WC0802X
Corneal and Contact Management Optometrist
3245
TN
152WP0200X
Pediatric Optometrist
3245
TN
152WS0006X
Sports Vision Optometrist
3245
TN
152WV0400X
Vision Therapy Optometrist
3245
TN

Other

Enumeration date
06/11/2015
Last updated
06/21/2018
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