Mary Grace Mccubbin, O.D.

NPI #1740413616 in Madison, Tennessee

Provider Information

NPI Number: 1740413616
Entity Type: Individual
Name: Mary Grace Mccubbin, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 26, 2009
Last Updated: Jun 17, 2011

Practice Location

Address: 1764 GALLATIN PIKE N
Address 2: PEARLE VISION
City: Madison
State: Tennessee
ZIP Code: 37115-2122
Phone: (615) 865-8412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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