Organization
TWIN LAKES MEDICAL IMAGING CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET G COFFMAN (OFFICE MANAGER)
(931) 823-7980
Entity
Organization
Contact information
Practice address
315 OAK ST, LIVINGSTON, TN 38570-1728
(931) 823-7980
(931) 823-8377
Mailing address
531D NORTH CHURCH STREET, LIVINGSTON, TN 38570
(931) 823-7980
(931) 823-8377
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
014338
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505973
—
TN
05
—
3193668
—
TN
Enumeration date
10/24/2006
Last updated
11/13/2008
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