Provider Demographics
NPI:1679521918
Name:WESLEY, RALPH E (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:E
Last Name:WESLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1800 CHURCH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2208
Mailing Address - Country:US
Mailing Address - Phone:615-329-3624
Mailing Address - Fax:615-329-0639
Practice Address - Street 1:1800 CHURCH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2233
Practice Address - Country:US
Practice Address - Phone:615-329-3624
Practice Address - Fax:615-329-0639
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD011991207W00000X
TNMD11991207WX0200X
KY17995207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3161564OtherBCBS PROVIDER ID#
TN3161564OtherBCBS PROVIDER ID#
TNB03354Medicare UPIN