Organization
OPHTHALMIC PLASTIC SURGICAL ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONA WALKER BEALE (SECRETARY)
(901) 483-1217
Entity
Organization
Contact information
Practice address
401 DAFFODIL CT, FRANKLIN, TN 37064-4712
(901) 483-1217
(615) 807-1979
Mailing address
401 DAFFODIL CT, FRANKLIN, TN 37064-4712
(901) 483-1217
(615) 807-1979
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD000005223
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3386525
—
TN
Enumeration date
02/08/2007
Last updated
02/28/2012
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