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Organization
ADVANCED DIAGNOSTIC IMAGING PC
Active
Organization
ADVANCED DIAGNOSTIC IMAGING PC
Active
Other names
Neuhaus Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FENTON (CREDENTIALING SUPERVISOR)
(615) 239-2018
Entity
Organization
Contact information
Practice address
179 HANCOCK ST STE 300, GALLATIN, TN 37066-6347
(615) 220-8788
(615) 220-8688
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
12/21/2023
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