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Organization

TEAM RADIOLOGY PHYSICIANS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID ALAN TAYLOR (SENIOR VICE PRESIDENT)
(865) 985-7180
Entity
Organization

Contact information

Practice address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 985-7186
(865) 560-7391
Mailing address
P. O. BOX 635000, CINCINNATI, OH 45263-5000
(813) 971-5003
(865) 692-3390

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CD4398
RR MEDICARE
FL
Enumeration date
07/10/2006
Last updated
01/16/2008
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