Organization
GENERAL ULTRA SOUND IMAGING CENTER LLC
Active
Other names
GUIC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. S M SHELLEY (CEO OF GUIC LLC)
(931) 728-7677
Entity
Organization
Contact information
Practice address
1400 WILLOW DRIVE, MANCHESTER, TN 37355
(931) 728-7677
(931) 728-7066
Mailing address
PO BOX 1802, MANCHESTER, TN 37349-4802
(931) 728-7677
(931) 728-7066
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3732548
—
TN
01
—
4115812
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/17/2006
Last updated
11/06/2007
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