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Organization
RIVERSTONE IMAGING CENTER
Active
Organization
RIVERSTONE IMAGING CENTER
Active
Other names
RiverStoneMD, PC
Organization subpart
No
Provider details
NPI number
Authorized official
JODY DAVIS CFO (CHIEF FINANCIAL OFFICER)
(706) 258-4133
Entity
Organization
Contact information
Practice address
101 RIVERSTONE VIS, BLUE RIDGE, GA 30513-6648
(706) 258-4120
Mailing address
101 RIVERSTONE VIS, BLUE RIDGE, GA 30513-6648
(706) 258-4120
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
NOT REQUIRED
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085001714G
—
GA
Enumeration date
11/29/2006
Last updated
08/31/2010
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