Advanced Radiology PC
Organization Active NPI Diagnostic Radiology Physician · Jackson, TN
NPI 1639124274 · NPPES record last updated Jun 16, 2017
Key facts
- NPI
- 1639124274
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- ADVANCED RADIOLOGY PC
- Practice address
- 367 Hospital Blvd
Jackson, TN 38305-2080 - Phone
- (731) 661-2000
- Fax
- (901) 753-2896
- NPI assigned
- May 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Joel E. Perchik, M.D.
- Title
- President
- Phone
- (731) 234-6958
Practitioners 4
-
Ravi Alagappan, MD
-
Patrick David Browning, M.D.
-
William B Mitchell, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
367 Hospital Blvd
Jackson, TN 38305-2080
Mailing address
PO Box 11686
Jackson, TN 38308-0128
Phone (731) 300-0352
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3720053 | Medicaid | TN |
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All providers in Jackson, TN · Diagnostic Radiology Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.