Doctor Name: | MRS. SELENA MCHONE |
NPI Number: | 1457707671 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RT(MR) |
License Number: | |
Business Practice Address: | 410 Butler St Pilot Mountain, NC - 270419334 |
Business Phone Number: | 3364071416 |
Business Fax Number: | |
Mailing Address: | 410 Butler St, PILOT MOUNTAIN |
State: | NC |
Postal Code: | 270419334 |
Phone Number: | 3364071416 |
Fax Number: | |
NPI Enumeration Date: | 05/06/2016 |
NPI Last Update Date: | 05/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471M1202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Magnetic Resonance Imaging |
Taxonomy Definition: |