Individual
DAVID OWEN CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1024 KELLEY DR, PARIS, TN 38242-4500
(731) 642-5003
(731) 642-8756
Mailing address
1024 KELLEY DR, PARIS, TN 38242-4500
(731) 642-5003
(731) 642-8756
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1168
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35972301
—
TN
01
—
T85041
UPIN
TN
Enumeration date
07/07/2006
Last updated
01/03/2008
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