Advancd Diagnostic Imaging, Pc | |
200 Creekside Dr Dickson TN 37055-2176 | |
(615) 851-6033 | |
Not Available |
Full Name | Advancd Diagnostic Imaging, Pc |
---|---|
Speciality | Internal Medicine |
Location | 200 Creekside Dr, Dickson, Tennessee |
Authorized Official Name and Position | Susan Fenton (CREDENTIALING SUPERVISOR) |
Authorized Official Contact | 6158516033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advancd Diagnostic Imaging, Pc 3024 Business Park Cir Goodlettsville TN 37072-3132 Ph: (615) 851-6033 | Advancd Diagnostic Imaging, Pc 200 Creekside Dr Dickson TN 37055-2176 Ph: (615) 851-6033 |
NPI Number | 1487121703 |
---|---|
Provider Enumeration Date | 10/24/2018 |
Last Update Date | 10/24/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487121703 | NPI | - | NPPES |
3372986 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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