Individual
DR. GARRETT CLARK SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
45 N DIXIE AVE, COOKEVILLE, TN 38501-3372
(931) 526-2022
(931) 528-1230
Mailing address
45 N DIXIE AVE, COOKEVILLE, TN 38501-3372
(931) 526-2022
(931) 528-1230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 0000002600
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3946671
—
TN
01
—
4114922
BC/BS OF TN
TN
Enumeration date
05/15/2006
Last updated
09/12/2013
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