Med Ventures Mri, LLC
NPI #1154784205 in Lagrange, Georgia
Provider Information
- NPI Number
- 1154784205
- Entity Type
- Organization
- Organization Name
- Med Ventures Mri, LLC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Apr 5, 2016
- Last Updated
- Apr 5, 2016
Practice Location
Authorized Official
- Name
- MR. RICHARD P. HOLLSTROM JR., DPM
- Title
- AUTHORIZED OFFICIAL
- Phone
- (706) 594-0687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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