Organization
SOUTH ATLANTA RADIOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALU S. MANI MD (AUTHORIZED REPRESENTATIVE)
(770) 991-1010
Entity
Organization
Contact information
Practice address
119 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2540
(770) 991-1010
Mailing address
PO BOX 2963, KENNESAW, GA 30156-9117
(770) 779-2178
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
04/20/2008
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