Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Oct 10, 2006
License(s)
024196 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 6600 VAN AALST BLVD | Fort Moore, GA 31905-2102 | 762-408-2014 |
| MAILING | 6600 VAN AALST BLVD | Fort Moore, GA 31905-2102 | 762-408-2014 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.