Mary Jane Grannis
Technician/Technologist, Optician in Nashville, TN. Individual provider (NPI-1).
NPI number1467627422
StatusActive
Last updated in NPPESApr 29, 2008
Details
- NPI
- 1467627422
- Entity type
- Individual (NPI-1)
- Name
- Mary Jane Grannis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2008
- Last updated
- Apr 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | Tennessee370 | TN | Yes |
Practice location
3920 Hillsboro CirNashville, TN 37215-2707
Phone 615-292-8269 · Fax 615-297-3525
Mailing address
3920 Hillsboro CirNashville, TN 37215-2707
Phone 615-292-8269 · Fax 615-297-3525
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