Mid-South Retina Associates, Llc

LBN: Mid-South Retina Associates, Llc
Mid-South Retina Associates, Llc is an health care organization with primary practice located at 609 Skyline Dr , Jackson TN 38301-3911. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Mid-South Retina Associates, Llc can be contacted via phone (731) 427-7799, or through Sievers, Richard via phone (901) 682-1100.

Contact Information

Primary practice address
609 Skyline Dr Jackson TN 38301-3911
Phone: (731) 427-7799
Fax: (731) 427-1476
Website:
Map and Directions
Authorized official contact:
Name: Sievers, Richard Doctor of Medicine (MD)
Phone: (901) 682-1100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1447286802
LBN Legal business name Mid-South Retina Associates, Llc
DBA Doing business as
Authorized official Sievers, Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 25th, 2006
Last updated Oct 24th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447286802 NPPES
Tennessee MEDICAID 3886759
Tennessee Other 4067262
Tennessee MEDICAID 3812364
Tennessee Other 3104352

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