Organization
HEALTHSCAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ELLER (ADMINISTRATIVE/BILLING MANAGER)
(912) 280-9211
Entity
Organization
Contact information
Practice address
11 GABLE CT, BRUNSWICK, GA 31525-6738
(912) 280-9211
(912) 280-9068
Mailing address
11 GABLE CT, BRUNSWICK, GA 31525-6738
(912) 280-9211
(912) 280-9068
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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