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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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