Organization
DIVERSE IMAGES MANAGEMENT SERVICES LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEANN JOHNSON (SPECIALIST)
(678) 886-0284
Entity
Organization
Contact information
Practice address
3724 MARTIN LUTHER KING DR SW, ATLANTA, GA 30331-3600
(678) 886-0284
Mailing address
PO BOX 366037, ATLANTA, GA 30336-6037
(678) 886-0284
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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