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1114908522
CENTRAL GEORGIA MRI LLC
MACON, GA
NPI
1114908522
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Entity Type
Organization
Authorized Contact
MARK E. GROSSNICKLE
President
478-746-1020
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date
2005-11-11
Last Update Date
2012-11-06
Business Address
CENTRAL GEORGIA MRI LLC
770 PINE ST STE L15 ATTN: RADIOLOGY DEPARTMENT
MACON, GA 31201-7519
Phone number: 478-746-1020
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Mailing Address
CENTRAL GEORGIA MRI LLC
770 PINE ST STE L15 ATTN: RADIOLOGY DEPARTMENT
MACON, GA 31201-7519
Phone number: 478-746-1020
Copy
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