Organization
CAMPBELL CUNNINGHAM TAYLOR PC
Active
Other names
Campbell, Cunningham, & Taylor Optical Dispensary
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RHONDA MICHELLE GARRISON (CREDENTIALING COORD.)
(865) 584-2127
Entity
Organization
Contact information
Practice address
1124 E WEISGARBER RD, SUITE 102, KNOXVILLE, TN 37909-2686
(865) 584-0905
(865) 584-3892
Mailing address
1124 E WEISGARBER RD, SUITE 102, KNOXVILLE, TN 37909-2686
(865) 584-0905
(865) 584-3892
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
645010002
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3371152
—
TN
Enumeration date
06/01/2007
Last updated
06/25/2019
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