NPI age
19 years
Enumerated 2006-08-24
Across 220 active radiology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 014641904 | |
| 01 (TX) | 014641905 | CSHCN |
Part of a multi-provider practice. 439 other active providers share this practice address in NPPES.
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