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1447286802
MID-SOUTH RETINA ASSOCIATES, LLC
JACKSON, TN
NPI
1447286802
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Entity Type
Organization
Authorized Contact
RICHARD SIEVERS
Partner
901-682-1100
Organization Subpart ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2006-06-25
Last Update Date
2007-10-24
Business Address
MID-SOUTH RETINA ASSOCIATES, LLC
609 SKYLINE DR
JACKSON, TN 38301-3911
Phone number: 731-427-7799
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Mailing Address
MID-SOUTH RETINA ASSOCIATES, LLC
PO BOX 1000 DEPT 448
MEMPHIS, TN 38148-0448
Phone number: 731-427-7799
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