Provider Demographics
NPI:1215292826
Name:WINGATE, ELKE E (RDMS)
Entity type:Individual
Prefix:
First Name:ELKE
Middle Name:E
Last Name:WINGATE
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:323 SAVANNAH RDG
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-8331
Mailing Address - Country:US
Mailing Address - Phone:615-210-9975
Mailing Address - Fax:
Practice Address - Street 1:323 SAVANNAH RDG
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127-8331
Practice Address - Country:US
Practice Address - Phone:615-210-9975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist