Individual
DANIEL DEJARNATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2300 THORNTON TAYLOR PKWY STE C, FAYETTEVILLE, TN 37334-3655
(931) 433-3084
(931) 433-4188
Mailing address
2300 THORNTON TAYLOR PKWY STE C, FAYETTEVILLE, TN 37334-3655
(931) 433-3084
(931) 433-4188
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1046
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3595901
—
TN
01
—
71288
BCBS
TN
Enumeration date
08/31/2005
Last updated
05/29/2014
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