Organization
ADVANCED DIAGNOSTIC IMAGING, PC
Active
Organization
ADVANCED DIAGNOSTIC IMAGING, PC
Active
Other names
OrthoKnox
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FENTON (CREDENTIALING DIRECTOR)
(152) 392-0186
Entity
Organization
Contact information
Practice address
10810 PARKSIDE DR STE 211, KNOXVILLE, TN 37934-1979
(865) 251-3044
(865) 671-3456
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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