Provider First Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY, 865 JEFFERSON AVE
Provider Second Line Business Practice Location Address:
SUITE F 150, CHANDLER BUILDING
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
90144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-448-4456
Provider Business Practice Location Address Fax Number:
901-448-1248
Provider Enumeration Date:
05/28/2021