Individual
MRS. MARTHA L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPO
Contact information
Practice address
312 S WASHINGTON ST, MARYVILLE, TN 37804-5800
(865) 977-0285
(865) 977-1459
Mailing address
312 S WASHINGTON ST, LINDA'S EYEWEAR, MARYVILLE, TN 37804-5800
(865) 977-0285
(865) 977-1459
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
719
TN
Other
Enumeration date
04/26/2007
Last updated
12/19/2011
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