Organization
CHILLICOTHE RADIOLOGY INC
Active
Organization
CHILLICOTHE RADIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE L CORY (BUSINESS MANAGER)
(740) 774-1111
Entity
Organization
Contact information
Practice address
47 N PLAZA BLVD, CHILLICOTHE, OH 45601-1760
(740) 774-1111
(740) 774-4074
Mailing address
PO BOX 1610, CHILLICOTHE, OH 45601-5610
(740) 774-1111
(740) 774-4074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006061
ANTHEM BC/BS
—
05
—
0270791
—
OH
01
—
CG0066
RAILROAD MEDICARE
—
Enumeration date
10/17/2006
Last updated
07/06/2009
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