NPI age
20 years
Enumerated 2005-10-25
Across 160 active radiology providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 320604YR70 | MEDICARE PTAN |
| 01 (TX) | 320604YPM9 | MEDICARE PTAN |
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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