SearchTennesseeRadiologic Technologist

Davin Modisette

NPI 1356721245 · on the registry since 2015

Practice

Address
23 Westhaven Pl
Jackson, TN 38305
Phone
(318) 475-0690
Fax
(731) 435-3385
Organisation at this address
Dr Mobile Imaging, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Radiologic Technologist
247100000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee