Organization
MEDICA IMAGING, LLC
Active
Other names
Medica Forsyth Open MRI & CT
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KAY BAKER (VP OF OPERATIONS)
(678) 354-6766
Entity
Organization
Contact information
Practice address
925 SANDERS RD, SUITE B, CUMMING, GA 30041-7945
(678) 845-2150
(678) 845-2148
Mailing address
925 SANDERS RD, SUITE B, CUMMING, GA 30041-7945
(678) 845-2150
(678) 845-2148
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
2100666
GA
Other
Enumeration date
06/05/2006
Last updated
08/22/2020
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