Organization
REGIONAL OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI BROWN (DIRECTOR OF BILLING)
(706) 256-3450
Entity
Organization
Contact information
Practice address
2516 UNIVERSITY DR STE B, THOMSON, GA 30824
(706) 595-4674
(706) 597-0088
Mailing address
PO BOX 932203, ATLANTA, GA 31193-2203
(706) 256-3450
(706) 256-3454
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
041535
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00720398N
—
GA
Enumeration date
12/11/2006
Last updated
11/02/2020
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