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Organization

CUMBERLAND RADIOLOGY PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM DONALD DOOLEY M. D. (PRES)
(606) 256-4208
Entity
Organization

Contact information

Practice address
145 PERCIFUL ST, MOUNT VERNON, KY 40456-2740
(706) 226-6806
(706) 226-6806
Mailing address
PO BOX 1270, MOUNT VERNON, KY 40456-1270
(706) 226-6806
(706) 226-6806

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25769
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000349604
BCBS
KY
05
64257637
KY
Enumeration date
05/02/2007
Last updated
12/10/2007
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