NPI age
19 years
Enumerated 2007-05-16
Across 1280 active radiology providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | P5256 | TEXAS MEDICAL LICENSE |
| 05 (FL) | 016382900 |
Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.
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