Individual
DR. JACE DALE MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1644 STOKLEY LN, OLD HICKORY, TN 37138-2356
(615) 310-5481
Mailing address
1644 STOKLEY LN, OLD HICKORY, TN 37138-2356
(615) 310-5481
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3090
TN
Other
Enumeration date
06/13/2013
Last updated
10/22/2014
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