Individual
MELANIE B DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
2151 CENTURY LN, JOHNSON CITY, TN 37604-4469
(423) 926-2500
(423) 926-5999
Mailing address
807 UNIVERSITY PKWY, BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4071
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
MDX6018
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MDX6018
ST LICENSE
TN
Enumeration date
03/27/2013
Last updated
03/27/2013
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