Individual
DR. CHARLENE N BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
214 CARRIAGE HOUSE DR, JACKSON, TN 38305-3903
(731) 668-4881
(731) 668-5705
Mailing address
214 CARRIAGE HOUSE DR, JACKSON, TN 38305-3903
(731) 668-4881
(731) 668-5705
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T0D886
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3044859
BCBS
TN
Enumeration date
07/26/2005
Last updated
12/03/2010
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