Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 1, 2013
License(s)
70517 (GA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 14826 PLEASANT RIDGE CT | Chesterfield, MO 63017-5569 | 636-537-4664 |
| LOCATION | 550 PEACHTREE ST. N.W. | Atlanta, GA 30309 | 404-686-5612 |
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