Individual
DR. NELSON L THORESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4495 KEITH ST NW, CLEVELAND, TN 37312
(423) 472-5239
(423) 472-1604
Mailing address
4495 KEITH ST NW, CLEVELAND, TN 37312
(423) 472-5239
(423) 472-1604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
920T
GA
152W00000X
Optometrist
Primary
ODT698
TN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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