Organization
OPEN MRI OF DOUGLAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL VALENE FIELDS RT(MR) (MANAGING OWNER)
(912) 393-1144
Entity
Organization
Contact information
Practice address
1315 OCILLA RD, DOUGLAS, GA 31533-2213
(912) 393-1144
(912) 393-1124
Mailing address
1315 OCILLA RD, DOUGLAS, GA 31533-2213
(912) 393-1144
(912) 393-1124
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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