Organization
SNELLIVLLE MEDICAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDAL COWAN (NUCLEAR MEDICINE TECHNOLOGIST)
(678) 205-2555
Entity
Organization
Contact information
Practice address
2310 HENRY CLOWER BLVD, SUITE A, SNELLVILLE, GA 30078-5776
(678) 205-2555
(678) 205-2556
Mailing address
2310 HENRY CLOWER BLVD, SUITE A, SNELLVILLE, GA 30078-5776
(678) 205-2555
(678) 205-2556
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
2006OCC0013
GA
Other
Enumeration date
05/11/2006
Last updated
08/22/2020
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