Individual
IMAD RADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(214) 603-4985
Mailing address
636 11TH ST APT 1462, AUGUSTA, GA 30901-2183
(214) 603-4985
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14294
GA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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