Marietta T Vestal, OD

NPI #1992786420 in Greeneville, Tennessee

Provider Information

NPI Number: 1992786420
Entity Type: Individual
Name: Marietta T Vestal, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 10, 2005
Last Updated: Jan 16, 2008

Practice Location

Address: 910 TUSCULUM BLVD
Address 2: STE 2
City: Greeneville
State: Tennessee
ZIP Code: 37745-4004
Phone: (423) 639-2002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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