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Individual

DR. EUGENE S PRETORIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3520 PIEDMONT RD NE, SUITE 250, ATLANTA, GA 30305-1516
(678) 904-2590
(404) 419-6985
Mailing address
3520 PIEDMONT RD NE STE 250, ATLANTA, GA 30305-1516
(678) 904-2590
(404) 419-6985

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
054821
GA
2085R0202X
Diagnostic Radiology Physician
DR.0045024
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
770621142
GA
05
9000150420
CO
01
P00353689
RAILROAD MEDICARE
GA
Enumeration date
01/18/2006
Last updated
03/25/2026
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