Organization
OPEN MRI OF MILLEDGEVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI BROWN (DIRECTOR OF BILLING)
(706) 256-3450
Entity
Organization
Contact information
Practice address
1850 NORTH COLUMBIA STREET, SUITE 3, MILLEDGEVILLE, GA 31061-7113
(478) 453-4101
(706) 256-3454
Mailing address
PO BOX 933274, ATLANTA, GA 31193-3274
(866) 560-7610
(706) 256-3454
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00307290
RAILROAD MEDICARE
GA
Enumeration date
07/30/2006
Last updated
10/28/2020
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