Individual
MARK BRUCE GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2801 WILMA RUDOLPH BLVD, SUITE #100, CLARKSVILLE, TN 37040-5011
(931) 553-2132
(931) 552-7446
Mailing address
PO BOX 110567, NASHVILLE, TN 37222-0567
(931) 553-2132
(931) 552-7446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
499
TN
Other
Enumeration date
09/26/2006
Last updated
10/23/2011
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