Individual
CLAYTON B RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5433 HIXSON PIKE, HIXSON, TN 37343-3238
(423) 843-2020
(423) 842-1914
Mailing address
5433 HIXSON PIKE, HIXSON, TN 37343-3238
(423) 843-2020
(423) 842-1914
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400520001
MEDICARE, DME MAC
TN
Enumeration date
09/09/2005
Last updated
10/06/2014
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