Individual
AUNDREA KAY HENDERSON GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
915 COLLOREDO BLVD, SHELBYVILLE, TN 37160-2780
(931) 684-2197
(931) 684-8562
Mailing address
915 COLLOREDO BLVD, SHELBYVILLE, TN 37160-2780
(931) 684-2197
(931) 684-8562
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1096 T
TN
Other
Enumeration date
10/05/2011
Last updated
11/14/2012
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