Individual
RANEE BERNICE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICAN
Contact information
Practice address
1240 FOX MEADOWS BLVD, SUITE 2, SEVIERVILLE, TN 37862-6928
(865) 453-5068
(865) 453-4987
Mailing address
1240 FOX MEADOWS BLVD, SUITE 2, SEVIERVILLE, TN 37862-6928
(865) 453-5068
(865) 453-4987
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
654
TN
Other
Enumeration date
09/16/2006
Last updated
07/09/2007
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