Advanced Diagnostic Imaging, PC

NPI #1417571498 in Hendersonville, Tennessee

Provider Information

NPI Number: 1417571498
Entity Type: Organization
Organization Name: Advanced Diagnostic Imaging, PC
Primary Specialty: Podiatrist
Enumeration Date: Jun 4, 2020
Last Updated: Jun 4, 2020

Practice Location

Address: 353 NEW SHACKLE ISLAND RD STE 120B
City: Hendersonville
State: Tennessee
ZIP Code: 37075-2329
Phone: (615) 826-0941

Authorized Official

Name: SUSAN FENTON
Title: CREDENTIALING MANAGER
Phone: (615) 851-6033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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