Doctor Name: | DENNIS CORRY |
NPI Number: | 1255599916 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 237199 |
Business Practice Address: | 693 County Road 1343 Vinemont, AL - 351796191 |
Business Phone Number: | 2567392051 |
Business Fax Number: | 2567751317 |
Mailing Address: | Po Box 305, VINEMONT |
State: | AL |
Postal Code: | 351790305 |
Phone Number: | 2567392051 |
Fax Number: | 2567751317 |
NPI Enumeration Date: | 05/29/2008 |
NPI Last Update Date: | 05/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3402X |
License Number: | 237199 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Radiography |
Taxonomy Definition: |