Individual
DR. CHAKA CHANELLE NORWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3950 AUSTIN PEAY HWY, MEMPHIS, TN 38128-2516
(817) 223-7294
(901) 380-1276
Mailing address
3950 AUSTIN PEAY HWY, MEMPHIS, TN 38128-2516
(817) 223-7294
(901) 380-1276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3061
TN
152W00000X
Optometrist
825
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08859508
—
MS
05
—
1528670
—
TN
Enumeration date
08/18/2010
Last updated
10/10/2019
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