Organization
TRI COUNTY MOBILE X RAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS CARROLL CORRY (OWNER)
(256) 739-2051
Entity
Organization
Contact information
Practice address
693 COUNTY ROAD 1343, VINEMONT, AL 35179-6191
(256) 739-2051
(256) 775-1317
Mailing address
PO BOX 305, VINEMONT, AL 35179-0305
(256) 739-2051
(256) 775-1317
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
237199
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000055014
—
AL
Enumeration date
06/02/2008
Last updated
06/02/2008
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