Organization
CANEY FORK RADIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD CAUDILL M.D. (DIRECTOR/ MEDICAL DOCTOR)
(615) 444-2320
Entity
Organization
Contact information
Practice address
200 SIGNATURE PL, LEBANON, TN 37087-3281
(615) 444-2320
(615) 449-3163
Mailing address
PO BOX 5000, LEBANON, TN 37088-5000
(615) 444-2320
(615) 449-3163
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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