NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC

GAINESVILLE, GA
NPI1144719311
Entity TypeOrganization
Authorized ContactJORGE J HERNANDEZ
VP Admin Srvs./Cco
404-851-6378
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2018-05-03
Last Update Date2023-01-11
Business Address
NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC
1240 JESSE JEWELL PKWY SE STE 500
GAINESVILLE, GA 30501-3861
Phone number: 855-709-4535
Mailing Address
NORTHEAST GEORGIA DIAGNOSTIC ASSOCIATES AND CLINIC, LLC
1100 JOHNSON FY RD NE STE 780
ATLANTA, GA 30342-1743
Phone number:
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