Individual
DR. TIMOTHY CHARLES WISE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1285 DOLLY PARTON PKWY, SEVIERVILLE, TN 37862-3705
(865) 453-3619
(865) 428-5168
Mailing address
1285 DOLLY PARTON PKWY, SEVIERVILLE, TN 37862-3705
(865) 453-3619
(865) 428-5168
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT3328
TN
Other
Enumeration date
06/18/2016
Last updated
06/18/2016
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