institution
Ridge Lake Asc, Llc
Ophthalmologic Surgery Clinic/Center in Memphis, Tennessee
NPI 1790844132

Ridge Lake Asc, Llc is a Ophthalmologic Surgery Clinic/Center based in Memphis, TN and is specialized in Ophthalmologic Surgery. Ridge Lake Asc, Llc practices in Memphis, TN. The NPI Number for Ridge Lake Asc, Llc is 1790844132 and holds a License No. 0000000049 (Tennessee).

The current practice location address for Ridge Lake Asc, Llc is 825 Ridge Lake Blvd, Memphis, TN and can be reached out via phone at 901-685-2200 and via fax at 901-820-2342. You can also correspond with Ridge Lake Asc, Llc through the mailing address at 825 RIDGE LAKE BLVD, MEMPHIS, TN - 38120-9411 (mailing address contact number: 901-685-2200).

Location: 825 Ridge Lake Blvd, Memphis, TN, 38120-9411
institution
Provider Profile Details
NPI Number
1790844132
Provider Name
Ridge Lake Asc, Llc
Credential
Provider Entity Type
Organization
Address
825 Ridge Lake Blvd, Memphis, TN, 38120-9411
Phone Number
901-685-2200
Fax Number
901-820-2342
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q016777 05 TN
00074013 05 MS
190552128 05 AR
institution
Provider Business Practice Location Address Details
Address
825 Ridge Lake Blvd
City
State
Zip
38120-9411
Phone Number
901-685-2200
Fax Number
901-820-2342
person
Provider Business Mailing Address Details
Address
825 Ridge Lake Blvd
City
State
Zip
38120-9411
Phone Number
901-685-2200
Fax Number
901-820-2342
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
0000000049 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ophthalmologic Surgery
Taxonomy
License No.
0000000049 (Tennessee)
Definition
Definition to come...
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