Organization
MALLARD EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER MALLARD OD (OWNER)
(615) 302-4477
Entity
Organization
Contact information
Practice address
1334 N ELLINGTON PKWY # P, LEWISBURG, TN 37091-2218
(615) 302-4477
(615) 250-4911
Mailing address
4959 MAIN ST, SPRING HILL, TN 37174-2727
(615) 302-4477
(615) 250-4911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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