Advanced Diagnostic Imaging, PC

NPI #1740757764 in Fairview, Tennessee

Provider Information

NPI Number: 1740757764
Entity Type: Organization
Organization Name: Advanced Diagnostic Imaging, PC
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANCED DIAGNOSTIC IMAGING, PC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 29, 2018
Last Updated: Feb 14, 2020

Practice Location

Address: 2340 FAIRVIEW BOULEVARD
Address 2: SUITE 600D
City: Fairview
State: Tennessee
ZIP Code: 37062
Phone: (615) 441-6140

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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