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Southern Tennessee Eye Specialists INC.

Ophthalmology in Collierville, TN. Organization (NPI-2).

NPI number1982802559
StatusActive
Last updated in NPPESMar 27, 2012

Details

NPI
1982802559
Entity type
Organization (NPI-2)
Legal business name
Southern Tennessee Eye Specialists INC.
Organization subpart
No
Enumeration date
Jul 5, 2007
Last updated
Mar 27, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology12179TNYes

Practice location

336 Poplar View Pkwy
Suite 1
Collierville, TN 38017-3436

Phone 901-854-6220 · Fax 901-854-6808

Mailing address

336 Poplar View Pkwy
Suite 1
Collierville, TN 38017-3436

Phone 901-854-6220 · Fax 901-854-6808

Authorized official

Harold Peter Kavoussi
Owner
9018546220

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