NPI age
10 years
Enumerated 2016-04-10
Across 1280 active radiology providers in Georgia.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (KS) | 004030032 | PTAN |
| 05 (NE) | 10030307600 | |
| 05 (KS) | 30004976670001 |
Part of a multi-provider practice. 48 other active providers share this practice address in NPPES.
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