Organization
ADVANCED DIAGNOSTIC IMAGING PC
Active
Other names
Neuhaus Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FENTON (DO)
(615) 851-6033
Entity
Organization
Contact information
Practice address
204 MEDICAL DR, LAFAYETTE, TN 37083-1719
(615) 220-8788
(615) 220-8688
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/21/2018
Last updated
03/28/2018
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