Organization
ALLY IMAGING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JETH CHILDERS (EXECUTIVE DIRECTOR/OWNER)
(404) 392-3155
Entity
Organization
Contact information
Practice address
312 CROSSTOWN DR STE 174, PEACHTREE CITY, GA 30269-2948
(470) 735-4998
(470) 241-1223
Mailing address
312 CROSSTOWN DR STE 174, PEACHTREE CITY, GA 30269-2948
(470) 735-4998
(470) 241-1223
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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