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Organization

NORTHEAST GEORGIA DIAGNOSTIC CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET GASKILL (REVENUE CYCLE DIRECTOR)
(770) 536-9864
Entity
Organization

Contact information

Practice address
1240 JESSE JEWELL PKWY SE, SUITE 500, GAINESVILLE, GA 30501-3862
(770) 536-9864
(770) 297-5023
Mailing address
1240 JESSE JEWELL PKWY SE, SUITE 500, GAINESVILLE, GA 30501-3862
(770) 536-9864
(770) 297-5023

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
06/05/2006
Last updated
09/20/2017
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