Organization
SONO PRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIE DWAYNE PENNINGTON RDMS, RVT, RDCS (SONOGRAPHER/OWNER)
(615) 478-5702
Entity
Organization
Contact information
Practice address
307 INDEPENDENCE ST, SPRINGFIELD, TN 37172-7430
(615) 478-5702
Mailing address
307 INDEPENDENCE ST, SPRINGFIELD, TN 37172-7430
(615) 478-5702
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
92909
TN
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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