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Individual

DR. JAMES DEAN BAGGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
406 W MADISON AVE, ATHENS, TN 37303-4232
(423) 746-9988
(423) 746-9984
Mailing address
PO BOX 1864, ATHENS, TN 37371-1864
(423) 746-9988
(423) 746-9984

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T923
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1298940001
PALMETTO
TN
01
3108490
BLUE CROSS BLUE SHIELD
TN
05
3595653
TN
01
6395610
CIGNA
TN
Enumeration date
07/12/2006
Last updated
06/18/2013
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