# RIVERSIDE IMAGING SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225376866
- **Authorized official:** HOWARD JONES WILLIAMS III M.D. (OWNER)
- **Authorized official phone:** (478) 745-6747

## Contact information

- **Practice address:** 2140 RIVERSIDE DR, SUITE B, MACON, GA 31204-1747
- **Practice address phone:** (478) 745-6747
- **Practice address fax:** (478) 745-6749
- **Mailing address:** 2140 RIVERSIDE DR, SUITE B, MACON, GA 31204-1747
- **Mailing address phone:** (478) 745-6747
- **Mailing address fax:** (478) 745-6749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/16/2013
- **Last updated:** 08/27/2014