Individual
MR. CALVIN CARTER JAMEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.A./R.A./R.T.
Contact information
Practice address
1912 STREAMFIELD CT, ANTIOCH, TN 37013-5753
(615) 491-1281
Mailing address
1912 STREAMFIELD CT, ANTIOCH, TN 37013-5753
(615) 491-1281
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
08TN1371
TN
247100000X
Radiologic Technologist
338071
TN
2471C3401X
Computed Tomography Radiologic Technologist
338071
TN
2471C3402X
Radiography Radiologic Technologist
338071
TN
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
338071
TN
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
338071
TN
Other
Enumeration date
10/17/2008
Last updated
09/06/2016
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