| NPI | 1356390595 |
|---|---|
| Former Legal Business Name | MIDDLE GEORGIA RADIOLOGY, PC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER F PARKER Manager 478-275-0580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA Applied For) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-08-22 |