Organization
WOODLAWN MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BRADIGAN (VP FINANCE)
(770) 303-4499
Entity
Organization
Contact information
Practice address
3535 ROSWELL RD STE 20, MARIETTA, GA 30062-6252
(770) 303-4499
(770) 303-9901
Mailing address
3535 ROSWELL RD STE 20, MARIETTA, GA 30062-6252
(770) 303-4499
(770) 303-9901
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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