# WOMEN'S IMAGING SPECIALISTS - EAGLES WALK, LLC

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

## Provider details

- **NPI number:** 1518794387
- **Authorized official:** JENNIFER REDDY (MANAGER)
- **Authorized official phone:** (866) 300-8512

## Contact information

- **Practice address:** 135 EAGLES WALK STE 200, STOCKBRIDGE, GA 30281-7391
- **Practice address phone:** (866) 300-8512
- **Practice address fax:** (800) 889-0010
- **Mailing address:** 5900 WINDWARD PKWY STE 230, ALPHARETTA, GA 30005-8861
- **Mailing address phone:** (866) 300-8512
- **Mailing address fax:** (800) 613-8386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0206X | Mammography Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2024
- **Last updated:** 09/17/2024