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Organization
OPEN MRI OF DOUGLAS LLC
Active
Organization
OPEN MRI OF DOUGLAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL VALENE FIELDS RT(MR) (MANAGING OWNER)
(912) 393-1144
Entity
Organization
Contact information
Practice address
1315 OCILLA RD, DOUGLAS, GA 31533-2213
(912) 393-1144
(912) 393-1124
Mailing address
1315 OCILLA RD, DOUGLAS, GA 31533-2213
(912) 393-1144
(912) 393-1124
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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