Organization
DUNWOODY IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY KENT GORDON MD (PRESIDENT & CEO)
(770) 451-4040
Entity
Organization
Contact information
Practice address
1750 OLD SPRING HOUSE LN, SUITE 205, ATLANTA, GA 30338-6214
(770) 451-4040
(770) 451-3003
Mailing address
1750 OLD SPRING HOUSE LN, SUITE 205, ATLANTA, GA 30338-6214
(770) 451-4040
(770) 451-3003
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
031432
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000449765AB
—
GA
Enumeration date
07/09/2006
Last updated
06/18/2012
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