Individual
DR. NICOLE RODDY MAISONVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2100 CLINCH AVE STE 400, KNOXVILLE, TN 37916-2293
(865) 521-7998
(865) 521-7405
Mailing address
2100 CLINCH AVE STE 400, KNOXVILLE, TN 37916-2293
(865) 521-7998
(865) 521-7405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3610
TN
Other
Enumeration date
05/21/2020
Last updated
03/09/2022
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