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Organization

GEORGIA TELERAD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization

Contact information

Practice address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(973) 251-1132
Mailing address
13737 NOEL RD, SUITE 1600, DALLAS, TX 75240-1331

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
08/29/2009
Last updated
12/06/2019
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