Individual
JUHI BANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
14628
GA
2085N0700X
Neuroradiology Physician
Primary
14628
GA
2085R0202X
Diagnostic Radiology Physician
14628
GA
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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