Organization
STATE OF THE ART IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD JAMES MINOTT RADIOLOGICAL TECH (DIRECTOR OF OPERATIONS)
(770) 896-5757
Entity
Organization
Contact information
Practice address
3586 KILLARNEY TRL, SNELLVILLE, GA 30039-5964
(678) 630-7947
Mailing address
3586 KILLARNEY TRL, SNELLVILLE, GA 30039-5964
(678) 630-7947
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
331540
GA
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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