Organization
WILSON COUNTY EYE SURGERY CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN L RAGSDALE (BILLING MANAGER)
(615) 453-5155
Entity
Organization
Contact information
Practice address
1670 W MAIN ST, STE 120, LEBANON, TN 37087-1344
(615) 453-5155
(615) 444-5915
Mailing address
1670 W MAIN ST, STE 120, LEBANON, TN 37087-1344
(615) 453-5155
(615) 444-5915
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1238610001
PALMETTO DMERC
NE
Enumeration date
04/12/2007
Last updated
02/02/2009
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