Individual
DR. JOHN THOMAS GINGRICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
JAMES H. QUILLEN VAMC, EYE CLINIC 112-E, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
2909 MUSKETT DR, JOHNSON CITY, TN 37604-6390
(423) 434-0162
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2328
TN
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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