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Organization

ALISHA NISWONGER, OD LLC

Active
Other names
Riverside Eye
Organization subpart
No

Provider details

NPI number
Authorized official
ALISHA NISWONGER OD (OPTOMETRIST/OWNER)
(423) 618-6490
Entity
Organization

Contact information

Practice address
6448 HIXSON PIKE STE 100, HIXSON, TN 37343-3206
(423) 618-6490
Mailing address
2412 BUFFALO LN, SODDY DAISY, TN 37379-3115

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
02/02/2023
Last updated
02/03/2023
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