Organization
AMSCAN RADIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BROOKE KANUPKE (MANAGER)
(678) 509-0121
Entity
Organization
Contact information
Practice address
576 SIGMAN RD NE, 500, CONYERS, GA 30013-1326
(678) 509-0121
(678) 509-0163
Mailing address
576 SIGMAN RD NE, 500, CONYERS, GA 30013-1326
(678) 509-0121
(678) 509-0163
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
08/22/2020
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