Marianna Imaging, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME51689 Issued in FL

Legal business name

MARIANNA IMAGING, LLC

Practice address

4250 Hospital Dr
Marianna, FL 32446-1917

Phone

(850) 718-2580

NPI assigned

Mar 13, 2016

Last updated

Mar 13, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William Scott Campbell Jr., M.D.

Title

President

Phone

(850) 381-3847

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457827200000",
    "number": "1790146140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N BAY DR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324443026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HOSPITAL DR",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461917",
            "telephone_number": "850-718-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANNA IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-13",
        "last_updated": "2016-03-13",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-381-3847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME51689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marianna Family Care Center, LLC (N/a)
• Marianna HCC LLC
• Marianna Health & Wellness, P.a.
• Marianna Medical Associates Inc
• Marianna Nursing and Care Center LLC (Courtyard Healthcare Center)
• Marianna OB GYN Associates P a
• Marianna Pediatric Associates PA
• Marianna Physical & Aquatic Therapy LLC

• Specialist in Marianna, FL
• Providers in Marianna, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.