Organization
INDEPENDENT DIAGNOSTIC SERVICES
Active
Other names
Body Mechanics Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL CONSOLA (AR DIRECTOR)
(770) 297-1700
Entity
Organization
Contact information
Practice address
550 PEACHTREE STREET, SUITE 1760, ATLANTA, GA 30308
(404) 817-0734
(404) 817-0737
Mailing address
1296 SIMS ST, SUITE A, GAINESVILLE, GA 30501-3850
(770) 297-1700
(770) 297-1702
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
199912
MN
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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