Organization
OCULOPLASTIC SPECIALISTS OF TENNESSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SIKTBERG (BUSINESS MANAGER)
(615) 400-5844
Entity
Organization
Contact information
Practice address
4306 HARDING PIKE STE 106, NASHVILLE, TN 37205-2249
(615) 297-5798
Mailing address
4306 HARDING PIKE STE 106, NASHVILLE, TN 37205-2249
(615) 297-5798
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/28/2022
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