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Organization
STEVEN R. SHUM
Active
Organization
STEVEN R. SHUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRISTER B SHUM (BUSINESS MANAGER)
(901) 754-6020
Entity
Organization
Contact information
Practice address
2109 WEST ST, SUITE 1, GERMANTOWN, TN 38138-3837
(901) 754-6020
(901) 754-9882
Mailing address
2109 WEST ST, SUITE 1, GERMANTOWN, TN 38138-3837
(901) 754-6020
(901) 754-9882
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
547
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0159021
BLUE CROSS BLUE SHIELD
TN
01
—
2240152
UNITED HEALTH CARE
TN
01
—
6172558
CIGNA
TN
Enumeration date
09/18/2007
Last updated
01/14/2009
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