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Individual

CAROL ANN MINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
6032 TELECOM DRIVE, MILAN, TN 38358
(731) 686-3271
(731) 686-1005
Mailing address
6032 TELECOM DRIVE, MILAN, TN 38358
(731) 686-3271
(731) 686-1005

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T1928
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39420801
TN
01
4085708
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/21/2006
Last updated
05/23/2012
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