Fayetteville Mri, LLC
NPI #1710972419 in Fayetteville, Tennessee
Provider Information
- NPI Number
- 1710972419
- Entity Type
- Organization
- Organization Name
- Fayetteville Mri, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Sep 19, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 106 MEDICAL CENTER BLVD
- City
- Fayetteville
- State
- Tennessee
- ZIP Code
- 37334-2684
- Phone
- (937) 438-7344
Authorized Official
- Name
- MR. MARK B GABRIEL
- Title
- PRINCIPAL
- Phone
- (317) 634-2222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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