Organization
MARSHALL COUNTY MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G FUQUA (ADMINISTRATOR)
(270) 527-4850
Entity
Organization
Contact information
Practice address
615 OLD SYMSONIA RD, BENTON, KY 42025-5042
(270) 527-4850
Mailing address
615 OLD SYMSONIA RD, BENTON, KY 42025-5042
(270) 527-4850
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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