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Organization

GEORGIA MAGNETIC IMAGING CENTER LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK E. GROSSNICKLE MD (PARTNER)
(478) 746-1020
Entity
Organization

Contact information

Practice address
770 PINE ST STE L15, ATTN: RADIOLOGY DEPARTMENT, MACON, GA 31201-7519
(478) 746-1020
(478) 746-0591
Mailing address
770 PINE ST STE L15, ATTN: RADIOLOGY DEPARTMENT, MACON, GA 31201-7519
(478) 746-1020
(478) 746-0591

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
11/21/2005
Last updated
11/06/2012
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