Advanced Diagnostic Imaging, PC

NPI #1033781216 in Columbia, Tennessee

Provider Information

NPI Number: 1033781216
Entity Type: Organization
Organization Name: Advanced Diagnostic Imaging, PC
Primary Specialty: Podiatrist
Enumeration Date: Jul 15, 2021
Last Updated: Jul 15, 2021

Practice Location

Address: 1215 HATCHER LN
City: Columbia
State: Tennessee
ZIP Code: 38401-3531
Phone: (615) 220-8788

Authorized Official

Name: SUSAN FENTON
Title: CREDENTIALING MANAGER
Phone: (615) 854-3409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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