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Organization
BREAST R US
Active
Organization
BREAST R US
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN HAYNES (ULTRASOUND TECH)
(478) 258-3431
Entity
Organization
Contact information
Practice address
125 PLANTATION CENTRE DR S, MACON, GA 31210-2079
(478) 258-3431
(800) 650-8797
Mailing address
125 PLANTATION CENTRE DR S, MACON, GA 31210-2079
(478) 258-3431
(800) 650-8797
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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