Individual
DR. STEPHANIE PHILLIPS LAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2043 GREYSTONE SQ, JACKSON, TN 38305-3576
(731) 668-3424
(731) 668-3425
Mailing address
2043 GREYSTONE SQ, JACKSON, TN 38305-3576
(731) 668-3424
(731) 668-3425
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT831
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28639
BCBS PIN
—
05
—
3596184
—
TN
01
—
410041641
RAILROAD MEDICARE
—
Enumeration date
04/03/2006
Last updated
06/16/2012
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