Individual
VICTORIA JANE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4300 CHAPMAN HWY, KNOXVILLE, TN 37920-3058
(865) 577-2020
Mailing address
4300 CHAPMAN HWY, KNOXVILLE, TN 37920-3058
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3597
TN
Other
Enumeration date
06/07/2020
Last updated
12/19/2020
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