Organization
UNICOM RADIOLOGY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND E KOHNE M.D. (CHIEF MANAGER/OWNER)
(423) 636-2362
Entity
Organization
Contact information
Practice address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 636-2362
Mailing address
PO BOX 32364, KNOXVILLE, TN 37930-2364
(865) 531-6070
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3722079
—
TN
Enumeration date
05/20/2006
Last updated
02/24/2009
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