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NPI Profile for MID SOUTH IMAGING THERAPEUTICS PA in GERMANTOWN, TN.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Nurse Anesthetist, Certified Registered |
367500000X | 43 | Certified Registered Nurse Anesthetist (CRNA) | |
Specialist |
174400000X |
| NPI # | 1043260763 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/11/2006 | |
| Last updated | 10/16/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MID-SOUTH IMAGING & THERAPEUTICS, P.A.
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MID-SOUTH IMAGING & THERAPEUTICS, P.A.