Healthcare Provider Details
I. General information
NPI: 1851474258
Provider Name (Legal Business Name): SPINNAKER ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/23/2006
Last Update Date: 03/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
360 KINGSTOWN RD
NARRAGANSETT RI
02882-3239
US
IV. Provider business mailing address
360 KINGSTOWN RD
NARRAGANSETT RI
02882-3239
US
V. Phone/Fax
- Phone: 401-782-8808
- Fax: 401-782-8813
- Phone: 401-782-8808
- Fax: 401-822-8701
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DON
S
HILL
Title or Position: PRA CTICE MANAGER/COO
Credential:
Phone: 404-782-8808