Organization
INTERVENTIONAL RADIOLOGY ASSOC OF ATLANTA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA STICHER (DIRECTOR OF OPERATIONS)
(770) 619-2767
Entity
Organization
Contact information
Practice address
4205 N POINT PKWY, BUILDING D, ALPHARETTA, GA 30022-8808
(770) 619-2767
(770) 619-2760
Mailing address
4205 N POINT PKWY, BUILDING D, ALPHARETTA, GA 30022-8808
(770) 619-2767
(770) 619-2760
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623608
CIGNA
GA
Enumeration date
05/02/2007
Last updated
06/23/2008
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