Organization
ADVANCED DIAGNOSTIC IMAGING, PC
Active
Organization
ADVANCED DIAGNOSTIC IMAGING, PC
Active
Other names
Advanced Orthopedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FENTON (CREDENTIALING MANAGER)
(615) 854-3409
Entity
Organization
Contact information
Practice address
1720 E REELFOOT AVE STE 104, UNION CITY, TN 38261-6047
(731) 885-8484
(731) 884-1609
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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