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Organization
GEORGIA HEALTH IMAGING
Active
Organization
GEORGIA HEALTH IMAGING
Active
Other names
Progressive Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YASMIN BUDHWANI MBBS, RDMS (ADMINISTRATOR)
(678) 924-0964
Entity
Organization
Contact information
Practice address
3653 LAWRENCEVILLE HWY, SUITE 150, LAWRENCEVILLE, GA 30044-4107
(678) 924-0964
(678) 924-0965
Mailing address
3653 LAWRENCEVILLE HWY, STE 150, LAWRENCEVILLE, GA 30044-4107
(678) 924-0964
(678) 924-0965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000502796N
—
GA
01
—
GRP8122
PTAN #
GA
Enumeration date
02/26/2007
Last updated
02/18/2009
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