Organization
OPRY MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON RIDGEL (OWNER / PRESIDENT)
(629) 777-5252
Entity
Organization
Contact information
Practice address
810 DOMINICAN DR, NASHVILLE, TN 37228-1906
(843) 530-0541
Mailing address
810 DOMINICAN DR, NASHVILLE, TN 37228-1906
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TN
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/23/2018
Last updated
02/18/2021
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