Individual
TARA MARSHALL ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
312 N CHANCERY ST, MCMINNVILLE, TN 37110-2048
(931) 473-7844
(931) 473-6840
Mailing address
211 LIND ST, MCMINNVILLE, TN 37110-1924
(731) 446-0929
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000003685
TN
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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