Individual
DR. BETHANY MAYO BEARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2716 N CENTRAL AVE, HUMBOLDT, TN 38343-1560
(731) 784-9409
(731) 784-9418
Mailing address
148 ROLLING OAKS DR, HUMBOLDT, TN 38343-8585
(731) 234-8886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1951
TN
Other
Enumeration date
07/16/2010
Last updated
01/06/2019
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