Podgorski, Gary T.

Podgorski, Gary T. is an individual health care provider with primary practice located at 1224 Trotwood Ave Southern Radiology Associates, Pll, Columbia TN 38401-4802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Podgorski, Gary T. can be contacted via phone (931) 647-5034.

Contact Information

Primary practice address
1224 Trotwood Ave Southern Radiology Associates, Pll Columbia TN 38401-4802
Phone: (931) 647-5034
Fax: (931) 552-6663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD15386 Tennessee

Profile Details

NPI number 1598751810
LBN Legal business name Podgorski, Gary T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598751810 NPPES
Tennessee Other 87131 BLUE CROSS PROVIDER NUMBE
Tennessee MEDICAID 3050164 BLUE CROSS PROVIDER NUMBE

Popular Providers