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Fayetteville Mri, Llc
Radiology Clinic/Center in Fayetteville, Tennessee
NPI 1710972419

Fayetteville Mri, Llc is a Radiology Clinic/Center based in Hermitage, TN and is specialized in Radiology. Fayetteville Mri, Llc practices in Fayetteville, TN. The NPI Number for Fayetteville Mri, Llc is 1710972419 and holds a License No. NA (Tennessee).

The current practice location address for Fayetteville Mri, Llc is 106 Medical Center Blvd, Fayetteville, TN and can be reached out via phone at 937-438-7344.

Location: 106 Medical Center Blvd, Fayetteville, TN, 37076-1316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710972419
Provider Name
Fayetteville Mri, Llc
Credential
Provider Entity Type
Organization
Address
106 Medical Center Blvd, Fayetteville, TN, 37076-1316
Phone Number
937-438-7344
Fax Number
Provider Enumeration Date
09/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1640521 01 TN UNITED HEALTHCARE
3790830 05 TN
institution
Provider Business Practice Location Address Details
Address
106 Medical Center Blvd
City
Fayetteville
State
Tennessee
Zip
37334-2684
Phone Number
937-438-7344
Fax Number
person
Provider Business Mailing Address Details
Address
106 Medical Center Blvd
City
Fayetteville
State
Tennessee
Zip
37334-2684
Phone Number
937-438-7344
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
NA (Indiana)
Definition
Definition to come...
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