NPI age
17 years
Enumerated 2008-06-19
Across 220 active radiology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | 0366100001 | MC NSC |
| 01 (AL) | 102I926603 | MEDICARE PTAN |
| 01 (GA) | 202I928503 | MEDICARE PTAN |
| 05 (GA) | 003148167B | |
| 01 (AL) | 0366100001 | CIGNA GOVERNMENT SERVICES PTAN |
| 01 (AL) | 511-36409 | BCBS |
| 05 (AL) | 148843 |
Part of a multi-provider practice. 537 other active providers share this practice address in NPPES.
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