Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 4, 2016
License(s)
57.028463 - Ack (OH), 65197 (TN)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 877 JEFFERSON AVE | Memphis, TN 38103-2807 | 901-545-7100 |
| MAILING | 267 GRANT ST. GME 4TH FLOOR BRID | Bridgeport, CT 06610 | 216-219-5894 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.