Individual
MAVIS JO BULGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1701 GALLERIA BLVD, FRANKLIN, TN 37067-1602
(615) 771-4908
(615) 771-7154
Mailing address
1304 OLD HICKORY BLVD, BRENTWOOD, TN 37027-4016
(314) 920-7318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3360
TN
152W00000X
Optometrist
OPC5012
FL
Other
Enumeration date
06/29/2009
Last updated
11/07/2018
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