Organization
VALLEY MEDICAL IMAGING
Active
Organization
VALLEY MEDICAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDRICK FERGUSON MD (PRESIDENT)
(423) 591-2632
Entity
Organization
Contact information
Practice address
1000 HIGHWAY 28, JASPER, TN 37347-3638
(423) 591-2632
Mailing address
PO BOX 97, JASPER, TN 37347-3638
(423) 591-2632
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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