Organization
DRS. KELLUM & PIKE, PC OPTOMETRISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A PIKE (DOCTOR OF OPTOMETRY)
(423) 926-0551
Entity
Organization
Contact information
Practice address
215 W WATAUGA AVE, JOHNSON CITY, TN 37604-5628
(423) 926-0551
(423) 926-5251
Mailing address
215 W WATAUGA AVE, JOHNSON CITY, TN 37604-5628
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT514
TN
Other
Enumeration date
06/13/2008
Last updated
07/31/2008
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