Organization
EVANS IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN G. ROGERS M.D. (MEDICAL DIRECTOR)
(706) 737-4575
Entity
Organization
Contact information
Practice address
4350 TOWNE CENTER DRIVE, SUITE 1000, EVANS, GA 30809
(706) 868-3940
(706) 868-3979
Mailing address
1125 TROUPE ST, AUGUSTA, GA 30904-4480
(706) 737-4575
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
GA
261QR0206X
Mammography Clinic/Center
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000370048U
—
GA
05
—
GPA958
—
SC
Enumeration date
01/25/2008
Last updated
12/11/2009
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