Individual
MRS. MARY ELLEN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2531 WEST END AVE, NASHVILLE, TN 37203-1423
(615) 327-1614
(615) 327-2413
Mailing address
2531 W END AVE, NASHVILLE, TN 37203-1423
(615) 327-1614
(615) 327-2413
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO700
TN
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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