Organization
MEDICAL CLINIC 20/20, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER B HENDERSON (SECRETARY)
(423) 877-9945
Entity
Organization
Contact information
Practice address
5301 HIGHWAY 153, HIXSON, TN 37343-4966
(423) 875-9945
(423) 875-9952
Mailing address
5301 HIGHWAY 153, HIXSON, TN 37343-4966
(423) 875-9945
(423) 875-9952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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