Organization
SOUTH CENTRAL RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARDO R GOMEZ M.D. (CHIEF MANAGER-OWNER)
(606) 677-9438
Entity
Organization
Contact information
Practice address
145 NEWCOMB AVE, MOUNT VERNON, KY 40456-2733
(606) 256-2195
Mailing address
PO BOX 32364, KNOXVILLE, TN 37930-2364
(865) 531-6070
(608) 788-8799
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942880
—
KY
Enumeration date
02/20/2007
Last updated
06/30/2016
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