Individual
DIVYA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2801 WILMA RUDOLPH BLVD STE 665, CLARKSVILLE, TN 37040-5063
(931) 552-4455
(931) 552-8999
Mailing address
2801 WILMA RUDOLPH BLVD STE 665, CLARKSVILLE, TN 37040-5063
(931) 552-4455
(931) 552-8999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3136
TN
152W00000X
Optometrist
TN3136
TN
Other
Enumeration date
11/12/2013
Last updated
03/13/2019
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