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Individual

DR. TANNER BEARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1760 W MORRIS BLVD, MORRISTOWN, TN 37813-2834
(423) 258-5617
Mailing address
1760 W MORRIS BLVD, MORRISTOWN, TN 37813-2834
(423) 258-5617

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD3734
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111106517
DRIVERS LICENSE
TN
Enumeration date
06/29/2022
Last updated
06/29/2022
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