Tri-state Radiology

NPI 1033155965 - Radiology - 2085R0202X

NPI Details
NPI 1033155965
Enumeration Date 06/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SUNAN SUNAN
Position PRESIDENT
Phone (423) 626-4211
Fax (606) 248-1320
Practice Location
1850 OLD KNOXVILLE RD
TAZEWELL TN, 37879-3625, US
Phone (423) 626-4211
Fax (606) 248-1320
Business Location
PO BOX 596
TAZEWELL TN, 37879-0596, US
Phone (606) 248-1320
Fax (606) 248-1518
Toxanomy
Taxonomy Code 2085R0202X
License State Tennessee
License Number MD0000014904
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According to our database, Tri-state Radiology NPI is 1033155965, taxonomy code is 2085R0202X and license number is MD0000014904, license state is located at Tennessee. Tri-state Radiology physically located at 1850 Old Knoxville Rd, Tazewell TN, 37879-3625. NPI Number 1033115704 has the healthcare provider type.

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1033155965 NPI number is provided on an as is basis without warranty of any kind. 1033155965 is maintained by the National Plan & Provider Enumeration System. The contents of Tri-state Radiology are for informational purposes only.