NPI age
19 years
Enumerated 2007-04-27
Across 3776 active radiology providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 83825 | GEORGIA MEDICAL LICENSE |
| 05 (GA) | 003226229A |
Part of a multi-provider practice. 1394 other active providers share this practice address in NPPES.
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