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Individual
JAMES T SMALL III
Active
Individual
JAMES T SMALL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN/RT(R)
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN239598
GA
247100000X
Radiologic Technologist
ARRT436685
MS
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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