Organization
3D IMAGING CSRA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA T DUNN (OWNER/OPERATOR)
(706) 589-6556
Entity
Organization
Contact information
Practice address
584 BLUE RIDGE DR, EVANS, GA 30809-3604
(706) 589-6556
Mailing address
584 BLUE RIDGE DR, EVANS, GA 30809-3604
(706) 589-6556
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
31122008
GA
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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