| NPI | 1699729806 |
|---|---|
| Former Legal Business Name | VITREORETINAL FOUNDATION |
| Entity Type | Organization |
| Authorized Contact | SUBBA GOLLAMUDI Chief Manager 901-685-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 363LF0000X Nurse Practitioner, Family | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-05-19 |