Organization
PERRY COUNTY RADIOLOGICAL ASSOCIATES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNICE O AARON M.D. (PRESIDENT)
(502) 222-3281
Entity
Organization
Contact information
Practice address
1 HOSPITAL RD, TELL CITY, IN 47586-2750
(812) 547-0190
(812) 547-0188
Mailing address
120 E ADAMS ST, STE 4, LAGRANGE, KY 40031-1278
(502) 222-3281
(502) 225-5796
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65941437
—
KY
01
—
DC0742
RAILROAD MEDICARE GROUP
IN
Enumeration date
07/15/2006
Last updated
10/31/2007
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