Provider First Line Business Practice Location Address:
52 WHITE BRIDGE RD
Provider Second Line Business Practice Location Address:
IMAGING ALLIANCE NASHVILLE PET LLC
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-354-1255
Provider Business Practice Location Address Fax Number:
615-354-9806
Provider Enumeration Date:
12/13/2005