Organization
BRANCE E. HAGOOD
Active
Other names
Hagood Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANCE EDWIN HAGOOD O.D. (OWNER)
(423) 272-2345
Entity
Organization
Contact information
Practice address
215 W BROADWAY ST, SUITE A, ROGERSVILLE, TN 37857-3280
(423) 272-2345
(423) 272-3324
Mailing address
215 W BROADWAY ST, SUITE A, ROGERSVILLE, TN 37857-3280
(423) 272-2345
(423) 272-3324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000001413
TN
332B00000X
Durable Medical Equipment & Medical Supplies
OD001413
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3598321
—
TN
Enumeration date
12/08/2009
Last updated
03/16/2010
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