Melissa Marlo Holliman O.D.

NPI 1043205693 - Optometrist - 152W00000X

NPI Details
NPI 1043205693
Gender Female
Enumeration Date 09/20/2005
Last Updated 08/19/2008
Entity Type Individual
Active Over 12 years ago
Practice Location
1203 N EASTMAN RD
KINGSPORT TN, 37664-3145, US
Phone (423) 967-2683
Fax (423) 247-3631
Business Location
1203 N EASTMAN RD
KINGSPORT TN, 37664-3145, US
Phone (423) 967-2683
Fax (423) 247-3631
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number 2021
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According to our database, Dr. Melissa Marlo Holliman O.D. NPI is 1043205693, taxonomy code is 152W00000X and license number is 2021, license state is located at Tennessee. Melissa Marlo Holliman O.D. physically located at 1203 N Eastman Rd, Kingsport TN, 37664-3145. NPI Number Melissa Marlo Holliman O.D. has the Individual type.

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1043205693 NPI number is provided on an as is basis without warranty of any kind. 1043205693 is maintained by the National Plan & Provider Enumeration System. The contents of Melissa Marlo Holliman O.D. are for informational purposes only.