Vidalia Open Mri, LLC

NPI #1164599353 in Vidalia, Georgia

Provider Information

NPI Number: 1164599353
Entity Type: Organization
Organization Name: Vidalia Open Mri, LLC
Primary Specialty: Radiologic Technologist - Magnetic Resonance Imaging
Enumeration Date: Nov 30, 2006
Last Updated: Aug 17, 2007

Practice Location

Address: 3165 E 1ST ST
City: Vidalia
State: Georgia
ZIP Code: 30474-8830
Phone: (800) 474-1077

Authorized Official

Name: MR. FRANK HARRELSON JR.
Title: OFFICE MANAGER
Phone: (800) 474-1077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist - Magnetic Resonance Imaging — Magnetic Resonance Imaging	2471M1202X	Primary

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