Organization
TIMOTHY C. WISE, OD
Active
Organization
TIMOTHY C. WISE, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYNE HUTSELL WISE (OFFICE MANAGER)
(865) 453-3619
Entity
Organization
Contact information
Practice address
1285 DOLLY PARTON PKWY, SEVIERVILLE, TN 37862-3705
(865) 453-3619
(865) 428-5168
Mailing address
1285 DOLLY PARTON PKWY, SEVIERVILLE, TN 37862-3705
(865) 453-3619
(865) 428-5168
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
ODT1181
TN
Other
Enumeration date
01/30/2008
Last updated
01/30/2008
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