Georgia Radiology Services, LLC

NPI #1124256540 in Lagrange, Georgia

Provider Information

NPI Number
1124256540
Entity Type
Organization
Organization Name
Georgia Radiology Services, LLC
Primary Specialty
Radiology - Diagnostic Radiology
Enumeration Date
Jun 24, 2009
Last Updated
Feb 5, 2020

Practice Location

Address
1514 VERNON RD
State
Georgia
ZIP Code
30240-4131
Phone
(706) 882-1411

Authorized Official

Name
KIM H LARSEN
Title
DIRECTOR OF CREDENTIALING
Phone
(770) 874-5400

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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