Organization
OPEN MRI OF TALLAHASSEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER O HOLLIDAY III MD (DIRECTOR)
(478) 474-2360
Entity
Organization
Contact information
Practice address
2910 KERRY FOREST PARKWAY, SUITE A1 A, TALLAHASSEE, FL 32308-6826
(850) 894-9500
(850) 894-9501
Mailing address
PO BOX 4003, MACON, GA 31208
(478) 755-9966
(478) 755-9964
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2666
BCBS
FL
Enumeration date
03/14/2006
Last updated
11/28/2007
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