Doctor Name: | DR. TRENT WADE BORDERS |
NPI Number: | 1407996762 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 41767 |
Business Practice Address: | 205 Hospital Drvie Suite A Mckenzie, TN - 38201 |
Business Phone Number: | 7313527907 |
Business Fax Number: | 7313524459 |
Mailing Address: | 205 Hospital Drvie, Suite A MCKENZIE |
State: | TN |
Postal Code: | 38201 |
Phone Number: | 7313527907 |
Fax Number: | 7313524459 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 11/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 41767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |