Organization
TARA K. MULLEN, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA K. MULLEN OPTOMETRIST (OWNER)
(423) 442-8649
Entity
Organization
Contact information
Practice address
4525 HIGHWAY 411, SUITE B, MADISONVILLE, TN 37354-1536
(423) 442-8649
(423) 420-3441
Mailing address
4525 HIGHWAY 411, SUITE B, MADISONVILLE, TN 37354-1536
(423) 442-8649
(423) 420-3441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TN2011
TN
Other
Enumeration date
06/25/2007
Last updated
07/31/2009
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