Organization
OSSP IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIA MCDONALD (CREDENTIALING COORDINATOR)
(305) 290-2448
Entity
Organization
Contact information
Practice address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
(404) 935-9116
Mailing address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
(404) 935-9116
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2016
Last updated
10/03/2022
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