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Individual

EDDIE H ABERNATHY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002084
VA
152W00000X
Optometrist
Primary
ODT 738
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3594489
TN
05
35944892
TN
Enumeration date
01/11/2006
Last updated
01/23/2026
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