NPI age
8 years
Enumerated 2018-04-23
Across 1280 active radiology providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (PA) | OS023014 | PENNSYLVANIA OSTEOPATHIC LICENSE |
| 01 (WV) | 3573 | WVU LICENSE |
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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