Individual
DR. ELEANOR L NULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2170 HIGHWAY 51 S, HERNANDO, MS 38632-1195
(662) 449-1384
Mailing address
2109 WEST ST, # 1, GERMANTOWN, TN 38138-3837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3225
TN
Other
Enumeration date
06/23/2015
Last updated
01/22/2016
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