Organization
SOUTHERN EYE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI ANN JENNINGS (ADMINISTRATOR)
(901) 255-5625
Entity
Organization
Contact information
Practice address
5350 POPLAR AVE, STE 950, MEMPHIS, TN 38119-0604
(901) 683-4600
(901) 683-8401
Mailing address
PO BOX 2044, DEPT 5700, MEMPHIS, TN 38101-2044
(901) 683-4600
(901) 255-5611
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3944178
—
TN
Enumeration date
07/08/2005
Last updated
07/21/2022
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