Organization
MDDC RADIOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT FOUNTAIN (MANAGING PARTNER)
(770) 364-3918
Entity
Organization
Contact information
Practice address
3101 CLAIRMONT RD NE, SUITE-A, ATLANTA, GA 30329-1044
(404) 982-7676
Mailing address
3101 CLAIRMONT RD NE, SUITE-A, ATLANTA, GA 30329-1044
(404) 982-7676
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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