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Organization

MID-SOUTH RETINA ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA L NAPOLI (BILLING MANAGER)
(901) 682-1100
Entity
Organization

Contact information

Practice address
723 FALLS BLVD S STE A, WYNNE, AR 72396-3509
(731) 427-7799
Mailing address
723 FALLS BLVD S STE A, WYNNE, AR 72396-3509
(731) 427-7799

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
05/14/2021
Last updated
05/14/2021
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