Individual
DR. AMANDA RAE DELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
311 E MAIN ST, ROGERSVILLE, TN 37857-3348
(423) 272-2020
(423) 272-5886
Mailing address
PO BOX 160, ROGERSVILLE, TN 37857-0160
(423) 272-2020
(423) 272-5886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2844
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509543
—
TN
Enumeration date
08/14/2008
Last updated
07/31/2009
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