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Organization
THE RETINA INSTITUTE OF MISSISSIPPI, PLLC
Active
Organization
THE RETINA INSTITUTE OF MISSISSIPPI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN C. TIEU MD, PHD (CEO/PHYSICIAN)
(409) 553-9058
Entity
Organization
Contact information
Practice address
281 TRACE COLONY PARK DR STE A, RIDGELAND, MS 39157-8810
(601) 324-4066
(601) 345-4272
Mailing address
281 TRACE COLONY PARK DR STE A, RIDGELAND, MS 39157-8810
(601) 324-4066
(601) 345-4272
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
01/17/2022
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