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Organization
GEORGIA ULTRASOUND, L.L.C.
Active
Organization
GEORGIA ULTRASOUND, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN TRADER (MANAGER)
(770) 932-8599
Entity
Organization
Contact information
Practice address
3620 MCGINNIS PARK DR, SUITE #1, SUWANEE, GA 30024-7136
(770) 932-8599
(678) 730-1013
Mailing address
3620 MCGINNIS PARK DR, SUITE #1, SUWANEE, GA 30024-7136
(770) 932-8599
(678) 730-1013
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
GA031432
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001893
RAILROAD RETIREMENT
GA
Enumeration date
09/28/2007
Last updated
05/04/2011
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