Individual
GREGORY LEONARD MUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1100 N JACKSON ST, TULLAHOMA, TN 37388-2336
(931) 393-2020
(931) 455-6501
Mailing address
1100 N JACKSON ST, TULLAHOMA, TN 37388-2336
(931) 393-2020
(931) 455-6501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2008
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180037502
RAILROAD MEDICARE
TN
05
—
3942776
—
TN
Enumeration date
09/15/2005
Last updated
05/01/2008
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