Provider Demographics
NPI:1831442177
Name:JAMES M. RYNERSON, MD PSC
Entity type:Organization
Organization Name:JAMES M. RYNERSON, MD PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:RYNERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-779-7078
Mailing Address - Street 1:317 SEVEN SPRINGS WAY STE 104
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4576
Mailing Address - Country:US
Mailing Address - Phone:615-637-9393
Mailing Address - Fax:
Practice Address - Street 1:7640 HIGHWAY 70 S
Practice Address - Street 2:SUITE 204
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1758
Practice Address - Country:US
Practice Address - Phone:877-513-6287
Practice Address - Fax:270-393-0599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-24
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD32268207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty