Organization
HOME CARE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIRA KARRIEM RT(R)(M) ARRT (CEO)
(678) 668-3101
Entity
Organization
Contact information
Practice address
187 SHERWOOD FOREST DR, DOUGLASVILLE, GA 30134-5808
(678) 668-3101
(404) 696-1997
Mailing address
187 SHERWOOD FOREST DR, DOUGLASVILLE, GA 30134-5808
(678) 668-3101
(404) 696-1997
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
326204
GA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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