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Organization

IMAGIX LEGACY PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL CHOUINARD (CREDENTIALING SPECIALIST)
(941) 955-3150
Entity
Organization

Contact information

Practice address
3903 JILES RD NW, 210, KENNESAW, GA 30144-4612
(770) 590-9050
Mailing address
3903 JILES RD NW, 210, KENNESAW, GA 30144-4612
(770) 590-9050

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
GA

Other

Enumeration date
11/17/2015
Last updated
11/17/2015
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform