Organization
GEORGIA HEALTH IMAGING
Active
Other names
Progressive Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
YASMIN BUDHWANI MBBS, RDMS (ADMINISTRATOR)
(678) 924-0964
Entity
Organization
Contact information
Practice address
3653 LAWRENCEVILLE HWY, SUITE 150, LAWRENCEVILLE, GA 30044-4107
(678) 924-0964
(678) 924-0965
Mailing address
3653 LAWRENCEVILLE HWY, STE 150, LAWRENCEVILLE, GA 30044-4107
(678) 924-0964
(678) 924-0965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000502796N
—
GA
01
—
GRP8122
PTAN #
GA
Enumeration date
02/26/2007
Last updated
02/18/2009
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