Mid South Retina Associates, LLC

NPI #1447286802 in Jackson, Tennessee

Provider Information

NPI Number: 1447286802
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 25, 2006
Last Updated: Aug 5, 2025

Practice Location

Address: 609 SKYLINE DR
City: Jackson
State: Tennessee
ZIP Code: 38301-3911
Phone: (731) 427-7799

Authorized Official

Name: DR. WILLIAM PRIESTER, M.D.
Title: PARTNER
Phone: (901) 682-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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