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Organization
Active
Organization
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IYABO MURAINA (BUSINESS MANAGER)
(478) 744-9603
Entity
Organization
Contact information
Practice address
555 1ST ST, MACON, GA 31201-2825
(478) 744-9603
(478) 744-9552
Mailing address
PO BOX 4645, MACON, GA 31208-4645
(478) 744-9603
(478) 744-9552
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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