Individual
DR. MARDIA MOHSIN AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8445 WALBROOK DR, KNOXVILLE, TN 37923
(865) 548-0620
Mailing address
8445 WALBROOK DR, KNOXVILLE, TN 37923-3115
(865) 548-0620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3008
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035764
—
TN
Enumeration date
11/29/2011
Last updated
08/08/2018
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