Individual
GARY L VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
333 E HARPER AVE, MARYVILLE, TN 37804-5724
(865) 982-6110
(865) 977-7243
Mailing address
333 E HARPER AVE, MARYVILLE, TN 37804-5724
(865) 982-6110
(865) 977-7243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0DT1895
TN
Other
Enumeration date
09/28/2006
Last updated
11/30/2016
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