Individual
SAMUEL ADAM PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
138 S WASHINGTON AVE, HENDERSON, TN 38340-2323
(731) 989-3511
Mailing address
668 SKYLINE DR, JACKSON, TN 38301-3951
(731) 424-2414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001863
VA
152W00000X
Optometrist
Primary
2957
TN
Other
Enumeration date
07/14/2009
Last updated
10/24/2022
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