NPI | 1790016418 |
---|---|
Doing Business As | NEA BAPTIST CLINIC IMAGING CENTER |
Entity Type | Organization |
Authorized Contact | GREGORY M DUCKETT Sr VP/ Clo 901-227-5233 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
Enumeration Date | 2010-01-20 |
Last Update Date | 2020-09-30 |