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Organization

SOUTHERN RADIOLOGY ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES D GRIPPO M.D. (PRESIDENT)
(931) 647-5034
Entity
Organization

Contact information

Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 647-5034
(931) 552-6663
Mailing address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 647-5034
(931) 552-6663

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002006510
BCBS GROUP NUMBER
TN
05
3386891
TN
Enumeration date
08/03/2006
Last updated
10/25/2021
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