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Individual

DR. DARWIN L MORMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9031 VALLEY CREST LN, GERMANTOWN, TN 38138-7829
(901) 757-2020
(901) 751-2399
Mailing address
9031 VALLEY CREST LN, GERMANTOWN, TN 38138-7829
(901) 757-2020
(901) 751-2399

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TOD 477
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4050772
BLUE CROSS BLUE SHIELD
TN
01
EE26088
VISION CARE
Enumeration date
10/19/2006
Last updated
05/24/2021
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