Organization
AIC OF DAWSONVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATONYA GREENE (CEO)
(678) 232-1574
Entity
Organization
Contact information
Practice address
91 NORDSON OVERLOOK, SUITE 102, DAWSONVILLE, GA 30534-0990
(888) 942-5272
(678) 302-7215
Mailing address
201 17TH ST NW, SUITE 300, ATLANTA, GA 30363-1098
(888) 942-5272
(678) 302-7215
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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