Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Feb 27, 2018
License(s)
4678SP (AL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1120 15TH ST | Augusta, GA 30912-0004 | 706-721-8623 |
| MAILING | 1717 6TH AVE S | Birmingham, AL 35233-1801 |
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