Organization
CAROLINA RADIOLOGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO GAY JR. MD (MD / PARTNER)
(803) 644-1357
Entity
Organization
Contact information
Practice address
302 UNIVERSITY PRKWY., AIKEN, SC 29802
(706) 737-4575
(706) 731-5289
Mailing address
P.O. BOX 3847, 1125 TROUPE STREET, AUGUSTA, GA 30914-3847
(706) 667-7450
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608241300
ACS DOL
—
01
—
608241301
FEDERAL BLACK LUNG
—
05
—
GP4161
—
SC
Enumeration date
09/05/2006
Last updated
08/31/2021
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