Organization
DIGITAL MAMMOGRAPHY SPECIALISTS-EAGLES LANDING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANJU R. MORRISSEY M.D. (CHIEF EXECUTIVE OFFICER)
(678) 904-6820
Entity
Organization
Contact information
Practice address
115 EAGLE SPRING DR, SUITE 100, STOCKBRIDGE, GA 30281-6486
(678) 904-7209
(770) 507-5199
Mailing address
200 ARIZONA AVE NE, SUITE 200, ATLANTA, GA 30307-2299
(678) 904-6820
(678) 904-6824
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2008
Last updated
10/23/2009
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