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Organization
WINGATE MOBILE, INC.
Active
Organization
WINGATE MOBILE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON DEAN WINGATE R.T. (CEO/RT)
(615) 671-9808
Entity
Organization
Contact information
Practice address
323 SAVANNAH RDG, MURFREESBORO, TN 37127-8331
(615) 671-9808
Mailing address
323 SAVANNAH RDG, MURFREESBORO, TN 37127-8331
(615) 671-9808
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
346808
TN
2471S1302X
Sonography Radiologic Technologist
112229
TN
Other
Enumeration date
06/29/2012
Last updated
07/10/2012
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