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Organization

EAST GEORGIA RADIOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KHOA D NGUYEN MD (SENIOR PARTNER)
(912) 486-1339
Entity
Organization

Contact information

Practice address
1499 FAIR RD, STATESBORO, GA 30458-1683
(912) 486-1339
(912) 871-2424
Mailing address
PO BOX 1368, STATESBORO, GA 30459
(912) 486-1339
(912) 871-2424

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
2085N0700X
Neuroradiology Physician
2085N0904X
Nuclear Radiology Physician
2085P0229X
Pediatric Radiology Physician
2085R0202X
Diagnostic Radiology Physician
Primary
2085R0204X
Vascular & Interventional Radiology Physician
2085U0001X
Diagnostic Ultrasound Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548254436
NPI DR GEORGE PIROS
01
1821082421
NPI DR NGUYEN
05
972144316B
GA
01
DF4636
RAILROAD MEDICARE
Enumeration date
01/03/2007
Last updated
04/30/2025
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