| NPI | 1326369141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA ELAINE RAKESTRAW Practice Manager 770-607-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 032167) |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: GA 053685) |
| 2085N0700X Radiology, Neuroradiology (Licence: GA 052547) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 056198) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 031215) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 049389) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 049409) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 052264) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 057533) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 057821) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 052547) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 054802) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 057821) | |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 054657) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |