Organization
DEPRIEST RADIOLOGY SERVICES PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES V DEPRIEST MD (OWNER)
(866) 457-9896
Entity
Organization
Contact information
Practice address
5001 E MAIN ST, ERIN, TN 37061-4115
(931) 289-4211
Mailing address
PO BOX 6070, DALTON, GA 30722-6070
(866) 457-9896
(706) 226-2283
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD30698
TN
Other
Enumeration date
12/19/2007
Last updated
03/27/2008
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