Individual
GREGORY PROFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1800 GALLERIA BLVD STE 1330, FRANKLIN, TN 37067-1691
(615) 771-7382
(615) 771-7295
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD2200
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3943876
—
TN
Enumeration date
12/26/2006
Last updated
07/09/2007
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