Organization
DM RADIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHOCKEO SYVANTHONG (PHYSICIAN OWNER)
(866) 457-5498
Entity
Organization
Contact information
Practice address
304 VIRGINIA AVE, DANVILLE, VA 24541-3730
(866) 457-5498
Mailing address
PO BOX 16265, CHAPEL HILL, NC 27516-6265
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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