Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Sep 29, 2017
License(s)
97127 (GA), 97127 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1364 CLIFTON RD NE | Atlanta, GA 30322-1059 | 404-778-4747 |
| LOCATION | 1 BROOKDALE PLZ | Brooklyn, NY 11212-3139 | 718-240-5000 |
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