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Organization

SHYNE LITE IMAGING SOLUTIONS LLC

Active
Other names
Shyne Lite Diagnostic Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOSCLYN J SPICER BS, DMS (CEO/OWNER)
(646) 260-3011
Entity
Organization

Contact information

Practice address
714 PEACHTREE STATION CIR, PEACHTREE CITY, GA 30269-2959
(646) 260-3011
Mailing address
714 PEACHTREE STATION CIR, PEACHTREE CITY, GA 30269-2959
(646) 260-3011

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
15033127
GA

Other

Enumeration date
06/16/2015
Last updated
06/16/2015
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