Organization
OSSP IMAGING OF COLUMBUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RA'KESHIA BROGDON (CREDENTIALING SPECIALIST)
(404) 941-1233
Entity
Organization
Contact information
Practice address
1031 20TH ST, COLUMBUS, GA 31901-1659
(706) 887-5136
(106) 223-0297
Mailing address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
(305) 290-2448
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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