Individual
DR. EDWIN GWIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
113 E LOCUST ST, DRESDEN, TN 38225-1440
(731) 364-2150
(731) 364-5157
Mailing address
PO BOX 31, DRESDEN, TN 38225-0031
(731) 364-2150
(731) 364-5157
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT643
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ODT643
STATE LICENSE NUMBER
TN
Enumeration date
04/27/2006
Last updated
10/23/2014
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