Individual
DR. JAMES MICHAEL RYNERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 SEVEN SPRINGS WAY STE 104, BRENTWOOD, TN 37027-4576
(615) 637-9393
Mailing address
405 S L ROGERS WELLS BLVD, GLASGOW, KY 42141-1725
(270) 651-0439
(270) 651-3991
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28184
KY
207W00000X
Ophthalmology Physician
MD0000032268
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069310
ANTHEM BCBS
KY
01
—
180033104
RAILROAD MEDIARE
KY
05
—
64281843
—
KY
Enumeration date
06/16/2005
Last updated
11/30/2023
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