SOURCE DIAGNOSTICS OF GEORGIA, LLC

MACON, GA
NPI1477819183
Entity TypeOrganization
Authorized ContactKATHLEEN A BARRY
COO
440-645-7822
Organization Subpart ?No
Primary Taxonomy261QR0208X Clinic/Center, Radiology, Mobile
Enumeration Date2012-04-06
Last Update Date2012-04-06
Business Address
SOURCE DIAGNOSTICS OF GEORGIA, LLC
5559 THOMASTON RD
MACON, GA 31220-8120
Phone number: 478-405-7015
Mailing Address
SOURCE DIAGNOSTICS OF GEORGIA, LLC
5275 NAIMAN PKWY STE E
SOLON, OH 44139-1029
Phone number: 440-542-1515
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