Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Feb 15, 2006
License(s)
026820 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1000 JOHNSON FERRY RD NE | Atlanta, GA 30342-1606 | 048-516-3234 |
| MAILING | 5605 GLENRIDGE DR STE 325 | Atlanta, GA 30342-1365 | 678-553-7783 |
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