Individual
BRETT DAVID MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2020 GUNBARREL ROAD, SUITE 100E, CHATTANOOGA, TN 34742-2663
(423) 899-9125
(423) 899-9030
Mailing address
PO BOX 21821, CHATTANOOGA, TN 37424-0821
(423) 899-9125
(423) 899-9030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1825
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10025073
PHP
—
05
—
3941806
—
TN
01
—
4035668
BCBS
—
Enumeration date
09/28/2006
Last updated
04/12/2012
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