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Organization

MT JULIET FAMILY VISION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL K DAVIS OD (OPTOMETRIST)
(615) 758-2501
Entity
Organization

Contact information

Practice address
830 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3391
(615) 758-2501
(615) 758-2524
Mailing address
830 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3391
(615) 758-2501
(615) 758-2524

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1157
TN
152W00000X
Optometrist
Primary
1166
TN

Other

Enumeration date
01/23/2006
Last updated
03/20/2008
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