Individual
ELIZABETH E EAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-A
Contact information
Practice address
787 WEATHERLY DR, SUITE 200, CLARKSVILLE, TN 37043-8949
(931) 647-1255
(931) 647-2399
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0000001259
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525013
—
TN
01
—
6091991
BCBS TN
TN
Enumeration date
05/09/2011
Last updated
05/10/2017
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