Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Apr 2, 2013
License(s)
273335 (MA), 91027 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 743 SPRING ST NE | Gainesville, GA 30501-3715 | 770-219-9000 |
| MAILING | 200 W ACADEMY ST NW | Gainesville, GA 30501-8568 | 770-282-8820 |
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