Advancd Diagnostic Imaging, PC

NPI #1487121703 in Dickson, Tennessee

Provider Information

NPI Number: 1487121703
Entity Type: Organization
Organization Name: Advancd Diagnostic Imaging, PC
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANCD DIAGNOSTIC IMAGING, PC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 24, 2018
Last Updated: Oct 24, 2018

Practice Location

Address: 200 CREEKSIDE DR
City: Dickson
State: Tennessee
ZIP Code: 37055-2176
Phone: (615) 851-6033

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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