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Organization
AMERICAN HEALTH IMAGING OF GEORGIA LLC
Active
Organization
AMERICAN HEALTH IMAGING OF GEORGIA LLC
Active
Other names
American Health Imaging of Brunswick, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JANE TRAVIS LUTZ (MANAGER OF CREDENTIALING)
(704) 362-5391
Entity
Organization
Contact information
Practice address
1103 FOUNTAIN LAKE DR, BRUNSWICK, GA 31525-3039
(404) 297-5207
(404) 478-8944
Mailing address
PO BOX 933367, ATLANTA, GA 31193-3367
(404) 297-5207
(404) 478-8944
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
09/01/2020
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