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Organization

JEANINE IMAGING SERVICES LLC

Active
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Organization

JEANINE IMAGING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLAUDE DIJUSTE (CEO/ PRESIDENT)
(470) 497-8399
Entity
Organization

Contact information

Practice address
203 SANDSTONE DR, HAMPTON, GA 30228-5543
(470) 497-8399
Mailing address
203 SANDSTONE DR, HAMPTON, GA 30228-5543

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
NULL
2085B0100X
Body Imaging Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—

Other

Enumeration date
11/11/2022
Last updated
01/18/2023
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