Organization
SIVAD IMAGING LLC
Active
Organization
SIVAD IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER L DAVIS RCS (CEO, PRESIDENT)
(706) 863-2872
Entity
Organization
Contact information
Practice address
4851 ORCHARD HILL DR, GROVETOWN, GA 30813-6324
(706) 863-2872
(706) 863-2872
Mailing address
PO BOX 1250, EVANS, GA 30809-1250
(706) 863-2872
(706) 863-2872
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
15623
GA
Other
Enumeration date
04/23/2008
Last updated
01/19/2009
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