Organization Name: | GENERAL ULTRA SOUND IMAGING CENTER LLC |
NPI Number: | 1417975863 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | S M SHELLEY (CEO OF GUIC LLC) |
Mailing Address: | 1400 Willow Drive Manchester |
State: | TN US |
Postal Code: | 37355 |
Phone Number: | 9317287677 |
Fax Number: | 9317287066 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 11/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |