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NPI Profile for DAVIN R MODISETTE in JACKSON, TN.
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiologic Technologist |
247100000X |
| NPI # | 1356721245 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/04/2015 | |
| Last updated | 12/28/2022 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DAVIN R MODISETTE
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DAVIN R MODISETTE