NPI age
19 years
Enumerated 2006-07-14
Across 1280 active radiology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | ME51942 | MEDICAL LICENSE |
| 01 (GA) | 31736 | MEDICAL LICENSE |
Part of a multi-provider practice. 439 other active providers share this practice address in NPPES.
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