Organization
RADIOLOGY & MEDICAL IMAGERY OF NEWNAN, PC
Active
Other names
Piedmont South Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY W BAKER MD (PRESIDENT)
(770) 400-1000
Entity
Organization
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
Mailing address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-1000
(770) 237-6148
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
GA
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC1772
RAIL ROAD MEDICARE
GA
Enumeration date
08/03/2006
Last updated
05/13/2024
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