# JEANINE IMAGING SERVICES LLC

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

## Provider details

- **NPI number:** 1881302495
- **Authorized official:** CLAUDE DIJUSTE (CEO/ PRESIDENT)
- **Authorized official phone:** (470) 497-8399

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | Yes |
| 2085B0100X | Body Imaging Physician | — | — | Yes |
| 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