Individual
TERI LYNNE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 FURR ST, SOUTH HILL, VA 23970-9500
(434) 447-2777
(434) 447-2908
Mailing address
315 FURR ST, SOUTH HILL, VA 23970-9500
(434) 447-2777
(434) 447-2908
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101003741
VA
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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