NPI age
13 years
Enumerated 2012-06-29
Across 1280 active radiology providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 1578827044 | |
| 05 (ME) | 1578827044 | |
| 05 (IL) | ENROLLED |
Part of a multi-provider practice. 68 other active providers share this practice address in NPPES.
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