Individual
TAMMY HOLSCLAW-JONES OD PLLC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
210 ROGOSIN DR, ELIZABETHTON, TN 37643-2906
(423) 543-6868
(423) 543-4226
Mailing address
210 ROGOSIN DR, ELIZABETHTON, TN 37643-2906
(423) 543-6868
(423) 543-4226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT0000001180
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4024713
BLUE CROSS
TN
Enumeration date
01/30/2007
Last updated
09/15/2017
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