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Individual

DR. FRANCES DICKSON BYNUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
105 HIGHWAY 431, MARTIN, TN 38237-8264
(731) 587-2022
(731) 587-9397
Mailing address
105 HIGHWAY 431, MARTIN, TN 38237-8264
(731) 587-2022
(731) 587-9397

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OP0002996
FL
152W00000X
Optometrist
Primary
TN1767
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3153049
BCBS
TN
01
3590029
NEW MEDICARE PTAN
TN
01
4030100001
PALMETTO
TN
01
410033713
RAILROAD MEDICARE
TN
01
6416
TLC
TN
Enumeration date
10/05/2005
Last updated
04/17/2008
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