Individual
JACOB MORTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 INDIAN LAKE BLVD STE 1005, HENDERSONVILLE, TN 37075-1525
(615) 265-7030
Mailing address
217 INDIAN LAKE BLVD STE 1005, HENDERSONVILLE, TN 37075-1525
(615) 265-7030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3340
TN
Other
Enumeration date
07/28/2016
Last updated
01/27/2022
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