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Organization
INTERVENTIONAL RADIOLOGY ASSOC OF ATLANTA PC
Active
Organization
INTERVENTIONAL RADIOLOGY ASSOC OF ATLANTA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA STICHER (DIRECTOR OF OPERATIONS)
(770) 619-2767
Entity
Organization
Contact information
Practice address
4205 N POINT PKWY, BUILDING D, ALPHARETTA, GA 30022-8808
(770) 619-2767
(770) 619-2760
Mailing address
4205 N POINT PKWY, BUILDING D, ALPHARETTA, GA 30022-8808
(770) 619-2767
(770) 619-2760
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623608
CIGNA
GA
Enumeration date
05/02/2007
Last updated
06/23/2008
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