person
Mr. Edgar Earl Swan, OPTICIAN
Optician in Gallatin, Tennessee
NPI 1942217161

Edgar Earl Swan is a Optician based in Gallatin, TN and is specialized in Optician. Edgar Earl Swan practices in Gallatin, TN and has the professional credentials of OPTICIAN. The NPI Number for Edgar Earl Swan is 1942217161 and holds a License No. DPO0000000657 (Tennessee).

The current practice location address for Edgar Earl Swan is 137 W Broadway, Gallatin, TN and can be reached out via phone at 615-452-2111 and via fax at 615-452-2251.

Location: 137 W Broadway, Gallatin, TN, 37066-2717
person
Provider Profile Details
NPI Number
1942217161
Provider Name
Edgar Earl Swan
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
137 W Broadway, Gallatin, TN, 37066-2717
Phone Number
615-452-2111
Fax Number
615-452-2251
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
43794 05 TN
institution
Provider Business Practice Location Address Details
Address
137 W Broadway
City
State
Zip
37066-2717
Phone Number
615-452-2111
Fax Number
615-452-2251
person
Provider Business Mailing Address Details
Address
137 W Broadway
City
State
Zip
37066-2717
Phone Number
615-452-2111
Fax Number
615-452-2251
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DPO0000000657 (Tennessee)
Definition
Definition to come...
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