Individual
BONNIE F TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
430 E COLLEGE ST, PULASKI, TN 38478-4316
(931) 363-7786
(931) 363-7794
Mailing address
PO BOX 457, PULASKI, TN 38478-0457
(931) 363-7786
(931) 363-7794
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0000000864
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T61233
—
TN
Enumeration date
10/20/2006
Last updated
10/19/2011
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