Organization
DIAGNOSTIC CLINIC OF ATHENS,LLC
Active
Other names
Athens Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER GRAYSON PRICE (VICE PRESIDENT)
(706) 433-4123
Entity
Organization
Contact information
Practice address
1063 BAXTER ST, ATHENS, GA 30606-3773
(706) 316-3662
(706) 316-3155
Mailing address
1063 BAXTER ST, SUITE C, ATHENS, GA 30606
(706) 354-1036
(706) 354-0529
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
0680713
GA
261QR0200X
Radiology Clinic/Center
Primary
0680713
GA
Other
Enumeration date
05/11/2006
Last updated
02/18/2021
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