Individual
DR. MICHELLE A GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1403 CUMBERLAND AVE, SUITE A, MIDDLESBORO, KY 40965
(606) 248-2549
(606) 248-9188
Mailing address
1403 CUMBERLAND AVE, SUITE A, MIDDLESBORO, KY 40965
(606) 248-2549
(606) 248-9188
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2814
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851505366
GROUP NPI
TN
01
—
3945636
MEDICARE GROUP PTAN
TN
Enumeration date
07/01/2008
Last updated
11/07/2018
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