Mid-South Retina Associates, LLC

NPI #1215963350 in Memphis, Tennessee

Provider Information

NPI Number: 1215963350
Entity Type: Organization
Organization Name: Mid-South Retina Associates, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MID-SOUTH RETINA ASSOCIATES, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jun 23, 2006
Last Updated: Jan 28, 2008

Practice Location

Address: 6005 PARK AVE
Address 2: SUITE 624B
City: Memphis
State: Tennessee
ZIP Code: 38119-5202
Phone: (901) 682-1100

Authorized Official

Name: DR. RICHARD ERVIN SIEVERS, M.D.
Title: PARTNER
Phone: (901) 682-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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