Individual
DR. BRADY M PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2111 N JACKSON ST, TULLAHOMA, TN 37388-2207
(931) 455-1800
(931) 455-3124
Mailing address
2111 N JACKSON ST, TULLAHOMA, TN 37388-2207
(931) 455-1800
(931) 455-3124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD2300
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024582
BCBS
—
01
—
2240579
UHC
—
05
—
3944518
—
TN
01
—
7315742
CIGNA
—
01
—
919218
BLOCK VISION
—
Enumeration date
06/12/2006
Last updated
04/29/2012
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