Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Canton Specialty Imaging, LLC

Organization Specialist · NPI 1457640831

Canton Specialty Imaging, LLC is a Specialist in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Oakside Ln Ste A
Canton, GA 30114-6416
Phone: (770) 479-1945
Fax: (770) 479-1948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 051890 (GA)

Record details

NPI number1457640831
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Peters — Member/Medical Director · (770) 479-1945
NPI enumeratedApril 6, 2011
Last updated in NPPESApril 6, 2011
Mailing address200 Oakside Ln, Suite A, Canton, GA 30114-6416

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