Organization
RADIOLOGY & NUCLEAR MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE DISMUKES (PRACTICE ADMINISTRATOR)
(615) 444-2320
Entity
Organization
Contact information
Practice address
1411 W BADDOUR PKWY, LEBANON, TN 37087-2513
(615) 444-2320
(615) 449-3163
Mailing address
200 SIGNATURE PLACE, LEBANON, TN 37087
(615) 444-2320
(615) 449-3163
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3380833
—
TN
Enumeration date
01/26/2006
Last updated
08/22/2020
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