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General NPI Number Information
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NPI Number | 1609836584
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Entity Type | Organization
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Legal Business Name | PLAZA RADIOLOGY,LLC
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1710 GUNBARREL RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-3127
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Country | US
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Telephone | 423-553-1220
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Fax | 423-553-1224
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Provider Business Mailing Address
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Address Line | PO BOX 242848
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City | MONTGOMERY
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State | AL
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Zip | 36124-2848
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Country | US
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Telephone | 334-270-9914
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Fax |
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Authorized Official
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Title or Position | COO
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Name | SUE KILPATRICK
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Credential |
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Telephone | 423-553-1220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | TN
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