Individual
TIMOTHY BLAKE SULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
517 N JACKSON ST, ATHENS, TN 37303-3621
(423) 745-4910
Mailing address
517 N JACKSON ST, ATHENS, TN 37303-3621
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3952
TN
Other
Enumeration date
07/05/2025
Last updated
07/05/2025
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