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Individual

ALAN KYLE BUGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1022 S MILES AVE, UNION CITY, TN 38261-5432
(731) 885-1049
(731) 885-6488
Mailing address
1022 S MILES AVE, UNION CITY, TN 38261-5432
(731) 885-1049
(731) 885-6488

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT867
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3732593
TN
Enumeration date
05/19/2006
Last updated
02/12/2008
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