Georgia Magnetic Imaging Center Ltd

NPI #1114900545 in Macon, Georgia

Provider Information

NPI Number
1114900545
Entity Type
Organization
Organization Name
Georgia Magnetic Imaging Center Ltd
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Nov 21, 2005
Last Updated
Nov 6, 2012

Practice Location

Address
770 PINE ST STE L15
Address 2
ATTN: RADIOLOGY DEPARTMENT
City
Macon
State
Georgia
ZIP Code
31201-7519
Phone
(478) 746-1020

Authorized Official

Name
MARK E. GROSSNICKLE, MD
Title
PARTNER
Phone
(478) 746-1020

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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