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Individual

DR. GARY T. PODGORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101286471
VA
2085R0202X
Diagnostic Radiology Physician
92212
SC
2085R0202X
Diagnostic Radiology Physician
Primary
MD15386
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3050164
TN
01
87131
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
09/22/2005
Last updated
02/19/2026
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