Individual
DR. SHANE PATRICK MULVIHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
702 S FOOTHILLS PLAZA DR, MARYVILLE, TN 37801-2300
(865) 982-6761
Mailing address
702 S FOOTHILLS PLAZA DR, MARYVILLE, TN 37801-2300
(865) 982-6761
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3569
TN
Other
Enumeration date
06/06/2016
Last updated
11/26/2019
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