Organization
GRIFFIN IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI L BROWN MBA (DIRECTOR OF BILLING)
(706) 256-3450
Entity
Organization
Contact information
Practice address
220 ROCK STREET, GRIFFIN, GA 30224
(770) 229-4660
(770) 229-4632
Mailing address
PO BOX 931477, ATLANTA, GA 31193-1477
(770) 229-4660
(770) 229-4632
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR6432
RR MEDICARE
GA
Enumeration date
07/16/2010
Last updated
06/30/2021
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