Individual
PHILIP M MONKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
108 MEDICAL CENTER BLVD, FAYETTEVILLE, TN 37334-2741
(931) 438-9085
Mailing address
108 MEDICAL CENTER BLVD, FAYETTEVILLE, TN 37334-2741
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
MDX0000003440
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4011132
BCBS
TN
Enumeration date
10/10/2006
Last updated
07/08/2007
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