Organization
PROFESSIONAL SONOGRAPHIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISA DAWN TALWAR RDMS R.T. (MEDICAL SONOGRAPHER, RADIOGRAPHER)
(731) 676-7635
Entity
Organization
Contact information
Practice address
1505 WOODLAWN AVE, SUITE B, DYERSBURG, TN 38024-3145
(731) 676-7635
(731) 334-5608
Mailing address
1505 WOODLAWN AVE, SUITE B, DYERSBURG, TN 38024-3145
(731) 676-7635
(731) 334-5608
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
17398
TN
Other
Enumeration date
11/10/2014
Last updated
01/27/2015
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