Organization
HENRY COUNTY RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY S FORTSON (OPERATIONS MANAGER)
(770) 590-3848
Entity
Organization
Contact information
Practice address
680A S 9TH ST, GRIFFIN, GA 30224-4216
(770) 716-8444
Mailing address
PO BOX 100032, KENNESAW, GA 30156-9232
(770) 779-2176
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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