Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Feb 17, 2006
License(s)
031377 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 100023 | Kennesaw, GA 30156-9223 | 770-779-2170 |
| LOCATION | 3950 AUSTELL RD | Austell, GA 30106-1121 | 770-732-4000 |
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