Individual
DANIEL STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 HAMILTON PLACE BLVD STE 147, CHATTANOOGA, TN 37421-6055
(423) 899-8799
Mailing address
5031 LLOYD LN, CHATTANOOGA, TN 37415-1704
(615) 982-1293
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3809
TN
Other
Enumeration date
03/27/2023
Last updated
07/27/2023
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