Provider Demographics
NPI:1427360692
Name:WELDON, MARLA P (OD)
Entity Type:Individual
Prefix:MISS
First Name:MARLA
Middle Name:P
Last Name:WELDON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MARLA
Other - Middle Name:L
Other - Last Name:PIGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:4085 MALLORY LN
Mailing Address - Street 2:SUITE 110
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-771-2550
Mailing Address - Fax:615-771-2099
Practice Address - Street 1:4085 MALLORY LN
Practice Address - Street 2:SUITE 110
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-771-2550
Practice Address - Fax:615-771-2099
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-05
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2930152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist