Individual
CAITLIN JAN FOLLANSBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2011 N ROAN ST, JOHNSON CITY, TN 37601-3130
(423) 610-7155
Mailing address
2101 FORT HENRY DR, SPC E-9, KINGSPORT, TN 37664-3658
(901) 604-3063
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3619
TN
Other
Enumeration date
07/16/2020
Last updated
08/04/2020
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