Individual provider · Type 1 NPI

Brian Richard Decosta, MD

Diagnostic Radiology Physician · Jackson, TN

NPI number 1689620627 Active

Practice location

367 Hospital Blvd
Jackson, TN 38305-2080

Call (731) 300-0352 Map

Fax (901) 753-2896

Mailing address

PO Box 11686
Jackson, TN 38308-0128

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X36602 (TN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1689620627

Brian Richard Decosta, MD's National Provider Identifier is 1689620627, issued on May 25, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Jackson, TN. The record was last updated on May 6, 2014.