Organization
RIVERDALE RADIOLOGY CENTER
Active
Other names
RCOM
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRESH PATEL (CEO)
(478) 745-2727
Entity
Organization
Contact information
Practice address
833 WALNUT ST, MACON, GA 31201-2617
(478) 745-2727
(478) 745-2201
Mailing address
237 MEDICAL WAY, SUITE B, RIVERDALE, GA 30274-2522
(770) 909-0488
(770) 909-8245
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
2471S1302X
Sonography Radiologic Technologist
—
—
Other
Enumeration date
01/18/2007
Last updated
09/05/2007
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