Individual
DAVID L FOUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PC
Contact information
Practice address
2585 NASHVILLE HWY, SMITHVILLE, TN 37166-7259
(615) 597-2255
Mailing address
2585 NASHVILLE HIGHWAY, SMITHVILLE, TN 37166
(615) 597-2255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT1164
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0831410001
—
TN
Enumeration date
06/15/2006
Last updated
05/20/2013
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