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Organization

BRIGHT HORIZON IMAGING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CALVIN GEORGE FERRIER (MANAGING PARTNER)
(866) 860-2576
Entity
Organization

Contact information

Practice address
3497 DULUTH PARK LN, DULUTH, GA 30096-3227
(866) 860-2576
Mailing address
527 EDGEWOOD, WINDSOR, CT 06095-1054
(866) 860-2576

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
20018663501
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20018663501
STATE TAXPAYER IDENTIFIER
GA
Enumeration date
01/10/2007
Last updated
08/22/2020
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