Organization
FAYETTE EYE ASSOCIATES PLLC
Active
Organization
FAYETTE EYE ASSOCIATES PLLC
Active
Other names
Fayette Family Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA S HOWELL (CREDENTIALING AND CONTRACTING)
(901) 757-2020
Entity
Organization
Contact information
Practice address
3161 HIGHWAY 64 STE 500, EADS, TN 38028-3370
(901) 465-3130
(901) 234-0133
Mailing address
3161 HIGHWAY 64 STE 500, EADS, TN 38028-3370
(901) 465-3130
(901) 234-0133
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
05/24/2021
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