Organization
HENRY COUNTY RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALU S MANI MD (AUTHORIZED REPRESENTATIVE)
(770) 389-2200
Entity
Organization
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(770) 389-2200
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
05/17/2006
Last updated
08/22/2020
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