NPI age
20 years
Enumerated 2006-03-02
Across 160 active radiology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 308543732D | |
| 05 (SC) | G57481 | |
| 05 (TN) | 3852310 | |
| 05 (GA) | 308543732A | |
| 01 (GA) | 7124808 | AETNA PPO PROVIDER ID |
Part of a multi-provider practice. 71 other active providers share this practice address in NPPES.
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