# CENTER FOR MEDICAL DIAGNOSTICS OF GEORGIA

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

## Provider details

- **NPI number:** 1598112336
- **Authorized official:** DR. ERIC RAY BECK MD (OWNER)
- **Authorized official phone:** (256) 683-0970

## Contact information

- **Practice address:** 2227 DRAKE AVE SW, HUNTSVILLE, AL 35805-5199
- **Practice address phone:** (256) 382-1603
- **Practice address fax:** (256) 382-1607
- **Mailing address:** 11560 HIGHWAY 27, SUMMERVILLE, GA 30747-5873
- **Mailing address phone:** (256) 382-1603
- **Mailing address fax:** (256) 382-1607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 69541 | GA | Yes |

## Other

- **Enumeration date:** 05/23/2016
- **Last updated:** 05/23/2016