Individual
DR. DANA ALAN GRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1207 N ROAN ST, JOHNSON CITY, TN 37601-3974
(423) 928-1010
(423) 928-9090
Mailing address
1207 N ROAN ST, JOHNSON CITY, TN 37601-3974
(423) 928-1010
(423) 928-9090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT675
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3594233
—
TN
Enumeration date
07/01/2006
Last updated
07/18/2012
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