Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 15, 2012
License(s)
94841 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1405 CLIFTON RD NE | Atlanta, GA 30322-1059 | 404-785-3655 |
| MAILING | 4771 POWERS PARK CT NE | Marietta, GA 30067-4095 | 578-206-5860 |
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