Individual
MRS. MARY ADERONKE BANJOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, RT(R)
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
407722
GA
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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