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Organization

MCOG IMAGING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUIE JONES (DIRECTOR OF ADMINISTRATION)
(404) 536-5244
Entity
Organization

Contact information

Practice address
1670 SCOTT BLVD, DECATUR, GA 30033-5605
(404) 536-5244
Mailing address
1428 SCOTT BLVD, DECATUR, GA 30030-1424

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
12/09/2014
Last updated
12/09/2014
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