Organization
RIVERSIDE IMAGING SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD JONES WILLIAMS III M.D. (OWNER)
(478) 745-6747
Entity
Organization
Contact information
Practice address
2140 RIVERSIDE DR, SUITE B, MACON, GA 31204-1747
(478) 745-6747
(478) 745-6749
Mailing address
2140 RIVERSIDE DR, SUITE B, MACON, GA 31204-1747
(478) 745-6747
(478) 745-6749
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
01/16/2013
Last updated
08/27/2014
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