Healthcare Provider Details

I. General information

NPI: 1316020464
Provider Name (Legal Business Name): RHEA RADIOLOGY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 RHEA COUNTY HWY
DAYTON TN
37321-5912
US

IV. Provider business mailing address

PO BOX 6067
ROME GA
30162-6067
US

V. Phone/Fax

Practice location:
  • Phone: 423-775-1121
  • Fax:
Mailing address:
  • Phone: 706-291-8257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAN DAVIDOFF
Title or Position: PRESIDENT
Credential: M.D.
Phone: 423-559-8620