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Organization
IMAGING CENTERS OF GEORGIA, INC.
Active
Organization
IMAGING CENTERS OF GEORGIA, INC.
Active
Parent organization
CHARLTON HEALTHCARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLTON HEALTHCARE CORPORATION
Authorized official
MR. NORMAN W. KING (PRESIDENT/CEO)
(478) 302-5270
Entity
Organization
Contact information
Practice address
108 OLYMPIA DR, SUITE 101, WARNER ROBINS, GA 31093
(478) 302-5270
(478) 302-5280
Mailing address
108 OLYMPIA DR, SUITE 101, WARNER ROBINS, GA 31093-3682
(478) 302-5270
(478) 302-5280
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
GA
261QR0200X
Radiology Clinic/Center
—
GA
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
GA
Other
Enumeration date
11/23/2010
Last updated
07/09/2014
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