Organization
CENTRAL GEORGIA PET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ZINSMEISTER M.D. (MEDICAL DIRECTOR)
(478) 633-4738
Entity
Organization
Contact information
Practice address
1650 HARDEMAN AVE, ATTN: RADIOLOGY DEPARTMENT, MACON, GA 31201-1418
(478) 633-4738
(478) 749-9736
Mailing address
1650 HARDEMAN AVE, ATTN: RADIOLOGY DEPARTMENT, MACON, GA 31201-1418
(478) 633-4738
(478) 749-9736
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
10/27/2005
Last updated
11/06/2012
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