Organization
VASCULAR RADIOLOGY ASSOCIATES, II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BRUCE TANNEHILL M.D. (PARTNER)
(706) 667-7450
Entity
Organization
Contact information
Practice address
630 13TH STREET, SUITE 250, AUGUSTA, GA 30901
(706) 724-2500
(706) 731-5289
Mailing address
1125 TROUPE ST, AUGUSTA, GA 30904-4480
(706) 667-7450
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
018827
GA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
018827
GA
2085N0700X
Neuroradiology Physician
018827
GA
2085N0904X
Nuclear Radiology Physician
018827
GA
2085P0229X
Pediatric Radiology Physician
018827
GA
2085R0202X
Diagnostic Radiology Physician
018827
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
018827
GA
2085U0001X
Diagnostic Ultrasound Physician
018827
GA
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
018827
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132971
—
SC
Enumeration date
08/24/2006
Last updated
04/20/2020
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