Individual
MARLY COLEMAN MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1845 OLD YORK HWY E, DUNLAP, TN 37327-3740
(931) 422-8480
(931) 422-8481
Mailing address
3309 MILLER AVE, CROSSVILLE, TN 38555-6190
(931) 484-4861
(931) 484-1484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3693
TN
Other
Enumeration date
07/02/2021
Last updated
03/30/2023
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