Individual
BRANDON DEAN WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
323 SAVANNAH RDG, MURFREESBORO, TN 37127-8331
(615) 306-9298
Mailing address
323 SAVANNAH RDG, MURFREESBORO, TN 37127-8331
(615) 306-9298
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
346808
TN
2471S1302X
Sonography Radiologic Technologist
Primary
112229
TN
2471V0105X
Vascular Sonography Radiologic Technologist
112229
TN
Other
Enumeration date
06/26/2012
Last updated
07/10/2012
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