Individual
CALLIE ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
110 MED TECH PKWY STE 1, JOHNSON CITY, TN 37604-4004
(423) 929-2111
Mailing address
259 SOUTHWOOD DR, KINGSPORT, TN 37664-5254
(423) 579-0560
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3891
TN
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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