Organization
ATLANTIC RADIOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE W EASON MD (PRESIDENT)
(910) 395-9984
Entity
Organization
Contact information
Practice address
2808 MCLAMB PL, GOLDSBORO, NC 27534-1600
(919) 759-0654
Mailing address
PO BOX 198849, ATLANTA, GA 30384-8849
(910) 395-9984
(866) 504-4009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20123
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890134P
—
NC
01
—
CM1660
MEDICARE RR
NC
Enumeration date
07/06/2006
Last updated
08/31/2010
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