| NPI | 1407984396 |
|---|---|
| Former Legal Business Name | MAHAN - RIDLEY PLLC |
| Entity Type | Organization |
| Authorized Contact | BEN BOB MAHAN Owner 931-393-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: TN TN MD18870) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN TN-OD-T394) |
| 207W00000X Ophthalmology (Licence: TN TN MD 9867) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2017-08-22 |