NPI 1023878634
NPI 1023878634 is a Radiology Clinic/Center in Macon, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
555 1st StMacon, GA 31201-2825
Phone: (478) 744-9603
Fax: (478) 744-9552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Radiology Clinic/Center (primary) | Taxonomy 261QR0200X |
|---|
Record details
| NPI number | 1023878634 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Iyabo Muraina — Business Manager · (478) 744-9603 |
| NPI enumerated | March 20, 2024 |
| Last updated in NPPES | March 20, 2024 |
| Certification date | March 20, 2024 |
| Mailing address | Po Box 4645, Macon, GA 31208-4645 |
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