Organization
WILLIFORD OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENE A WILLIFORD DPO (PRESIDENT)
(423) 899-3930
Entity
Organization
Contact information
Practice address
1949 GUNBARREL RD, SUITE 110, CHATTANOOGA, TN 37421-3188
(423) 899-3930
(423) 899-1590
Mailing address
1949 GUNBARREL RD, SUITE 110, CHATTANOOGA, TN 37421-3188
(423) 899-3930
(423) 899-1590
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
DPO0000000291
TN
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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