Organization
NORTH METROPOLITAN RADIOLOGY ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON L SIEGEL (AUTHORIZED OFFICIAL)
(678) 312-2400
Entity
Organization
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045-7694
(877) 383-4442
Mailing address
PO BOX 1746, INDIANAPOLIS, IN 46206-1746
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021364
—
GA
01
—
CA0820
RR MEDICARE
GA
Enumeration date
01/04/2006
Last updated
07/08/2022
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