Individual
GREGORY ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC, NCLEC
Contact information
Practice address
28402 US HIGHWAY 119, SOUTH WILLIAMSON, KY 41503-3924
(606) 237-0175
(606) 237-6296
Mailing address
28402 US HIGHWAY 119, SOUTH WILLIAMSON, KY 41503-3924
(606) 237-0175
(606) 237-6296
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
163366
KY
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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