Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 5, 2005
License(s)
060031 (GA), 18620 (AL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 417 W 3RD AVE | Albany, GA 31701-1943 | 229-312-1000 |
| MAILING | 2000A SOUTHBRIDGE PKWY STE 300 | Birmingham, AL 35209-7704 | 205-871-4274 |
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