Individual
MAKAYLA GABRIELLE HARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 N ROAN ST, JOHNSON CITY, TN 37601-3130
(865) 217-1010
Mailing address
2011 N ROAN ST, JOHNSON CITY, TN 37601-3130
(865) 217-1010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3878
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2024
Last updated
06/09/2024
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