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Organization
STATE OF THE ART IMAGING
Active
Organization
STATE OF THE ART IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD JAMES MINOTT RADIOLOGICAL TECH (DIRECTOR OF OPERATIONS)
(770) 896-5757
Entity
Organization
Contact information
Practice address
3586 KILLARNEY TRL, SNELLVILLE, GA 30039-5964
(678) 630-7947
Mailing address
3586 KILLARNEY TRL, SNELLVILLE, GA 30039-5964
(678) 630-7947
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
331540
GA
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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