Organization
SOUTHEAST GEORGIA OPEN MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE HARRIS (ACCOUNT DIRECTOR)
(912) 267-6736
Entity
Organization
Contact information
Practice address
1103 FOUNTAIN LAKE DRIVE, BRUNSWICK, GA 31525
(912) 267-6736
(912) 262-1922
Mailing address
1103 FOUNTAIN LAKE DRIVE, BRUNSWICK, GA 31525
(912) 267-6736
(912) 262-1922
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00469169G
—
GA
01
—
1942294848
BILLING PROVIDER NUMBER
—
Enumeration date
09/17/2006
Last updated
01/27/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us