Individual
GARY G. NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3445 POPLAR AVE, SUITE 7, MEMPHIS, TN 38111-4667
(901) 458-2020
Mailing address
3445 POPLAR AVE, SUITE 7, MEMPHIS, TN 38111-4667
(901) 458-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
705T
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0784010001
DMERC REGION C PALMETTO GBA
TN
Enumeration date
07/05/2006
Last updated
12/10/2008
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