Individual
GEORGE A KALLIANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342
(404) 851-6323
(404) 256-3271
Mailing address
5605 GLENRIDGE DR STE 325, ATLANTA, GA 30342-1365
(678) 553-7783
(678) 553-7793
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
028420
GA
2085R0202X
Diagnostic Radiology Physician
Primary
028420
GA
2085R0202X
Diagnostic Radiology Physician
28420
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000428502A
—
GA
05
—
000428502F
—
GA
Enumeration date
01/06/2006
Last updated
06/11/2019
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