Individual
MR. GREGORY TODD SALYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1936 BROOKSIDE DR, SUITE A, KINGSPORT, TN 37660-4654
(423) 246-3372
(423) 246-1184
Mailing address
1936 BROOKSIDE DR, SUITE A, KINGSPORT, TN 37660-4654
(423) 246-3372
(423) 246-1184
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TNOD1217
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3598485
—
TN
Enumeration date
12/12/2006
Last updated
07/01/2008
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