Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Apr 14, 2006
License(s)
016548 (GA), 016548 (GA), 016548 (GA), 016548 (GA), 016548 (GA), 016548 (GA), 016548 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1499 WALTON WAY STE. 1400 | Augusta, GA 30901-2603 | 706-724-6100 |
| LOCATION | 1120 15TH ST | Augusta, GA 30912-0004 | 706-721-9729 |
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