Individual
MR. JAMES CECIL BRISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1541 N MAIN ST, CROSSVILLE, TN 38555-6738
(931) 484-9398
(931) 484-9398
Mailing address
1541 N MAIN ST, CROSSVILLE, TN 38555-6738
(931) 484-9398
(931) 484-9398
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1376
TN
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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