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Organization
ADVANCED DIAGNOSTIC IMAGING, PC
Active
Organization
ADVANCED DIAGNOSTIC IMAGING, PC
Active
Other names
Mendoza Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FENTON (CREDENTIALING MANAGER)
(615) 851-6033
Entity
Organization
Contact information
Practice address
353 NEW SHACKLE ISLAND RD STE 120B, HENDERSONVILLE, TN 37075-2329
(615) 826-0941
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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