Individual
DR. SANDRA T DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
926 N JACKSON ST, TULLAHOMA, TN 37388-2300
(931) 393-6004
(931) 393-4795
Mailing address
926 N JACKSON ST, TULLAHOMA, TN 37388-2300
(931) 393-6004
(931) 393-4795
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2961
TN
152W00000X
Optometrist
OPT002474
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521581
—
TN
Enumeration date
07/11/2008
Last updated
03/10/2021
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