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Individual

DR. GREG A MCCLURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
10721 CHAPMAN HWY STE 5, SEYMOUR, TN 37865-4771
(865) 577-6650
(865) 577-0452
Mailing address
10721 CHAPMAN HWY STE 5, SEYMOUR, TN 37865-4771
(865) 577-6650
(865) 577-0452

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1631
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3033647
BLUE CROSS BLUE SHIELD
TN
05
3940328
TN
01
621714788
AETNA
TN
Enumeration date
02/13/2007
Last updated
08/10/2011
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