Organization
ADVANCED SOUTHERN IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY HUGHES (MANAGING PARTNER)
(706) 367-0830
Entity
Organization
Contact information
Practice address
1390 BUSINESS CENTER DR SW STE 700, CONYERS, GA 30094-6600
(844) 337-2837
Mailing address
1390 BUSINESS CENTER DR SW STE 700, CONYERS, GA 30094-6600
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
04/07/2022
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