Organization
SUBSPECIALTY IMAGING, LLC
Active
Parent organization
SUBSPECIALTY IMAGING, LLC
Other names
Subspecialty Imaging Canton
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUBSPECIALTY IMAGING, LLC
Authorized official
MR. WALTER GRAYSON PRICE (CFO)
(706) 433-4123
Entity
Organization
Contact information
Practice address
1495 HICKORY FLAT HWY STE 150, CANTON, GA 30115-4229
(855) 325-5905
Mailing address
PO BOX 48267, ATHENS, GA 30604-8267
(844) 800-2326
(706) 354-0529
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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