Organization
COREY GLENN PERSONS
Active
Other names
Dr. Corey Persons& Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY GLENN PERSONS O.D. (OWNER)
(731) 256-7911
Entity
Organization
Contact information
Practice address
1239 VANN DR, JACKSON, TN 38305-4918
(731) 256-7911
(731) 664-5243
Mailing address
1239 VANN DR, JACKSON, TN 38305-4918
(731) 256-7911
(731) 664-5243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1779
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020087
—
TN
05
—
Q020091
—
TN
Enumeration date
11/11/2015
Last updated
05/18/2021
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