Organization
RADIOLOGY ASSOCIATES OF HOUSTON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG L DOVER CPA (PRACTICE MANAGER)
(770) 237-1558
Entity
Organization
Contact information
Practice address
601 BLUEBIRD BLVD, FORT VALLEY, GA 31030-5082
(478) 825-0310
Mailing address
1605 LAKES PKWY, LAWRENCEVILLE, GA 30043-5858
(770) 237-1148
(770) 237-6148
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000635885K
—
GA
Enumeration date
08/03/2006
Last updated
05/13/2008
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