Individual
DR. DONG CHAN SUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
99 SIDNEY ST, EYE CLINIC, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
115 BEECHNUT ST, SUITE B-5, JOHNSON CITY, TN 37601-1542
(858) 204-7724
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3140
TN
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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