| NPI | 1255547980 |
|---|---|
| Doing Business As | SKILLED NURSING INFECTIOUS DISEASE RAD |
| Entity Type | Organization |
| Authorized Contact | JAMA M PHILLIPS Director Physician Billing 731-512-1510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-05-16 |