Organization
BABY DIMENSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS STACEY LANETTE LIVINGSTON ARDMS (SONOGRAPHER)
(770) 502-0225
Entity
Organization
Contact information
Practice address
20 BAKER RD STE 9, NEWNAN, GA 30265-2134
(770) 502-0225
Mailing address
20 BAKER RD STE 9, NEWNAN, GA 30265-2134
(770) 502-0225
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
45982
GA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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