Organization
QUANTUM MEDICAL RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT R ROCHE M.D. (AUTHORIZED REPRESENTATIVE)
(678) 904-2590
Entity
Organization
Contact information
Practice address
3949 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 434-0710
Mailing address
PO BOX 1168780, ATLANTA, GA 30368-6878
(678) 904-2599
(678) 904-2591
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
11/20/2012
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