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Organization

GEORGIA RADIOLOGY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM H LARSEN (DIRECTOR OF CREDENTIALING)
(770) 874-5400
Entity
Organization

Contact information

Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
Mailing address
PO BOX 22971, BELFAST, ME 04915-4480
(770) 874-5400

Taxonomy

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

Other

Enumeration date
06/24/2009
Last updated
02/05/2020
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