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Organization

DR GARRETT C SHEPHERD

Active
Other names
Huddleston & Shepherd Family Vision, Smith County Advanced Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
GARRETT C SHEPHERD OD (OWNER, DOCTOR)
(931) 526-2022
Entity
Organization

Contact information

Practice address
45 N DIXIE AVE, COOKEVILLE, TN 38501
(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
2600
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3946671
TN
Enumeration date
06/06/2018
Last updated
06/16/2018
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