Organization
JEANINE IMAGING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDE DIJUSTE (CEO/ PRESIDENT)
(470) 497-8399
Entity
Organization
Contact information
Practice address
203 SANDSTONE DR, HAMPTON, GA 30228-5543
(470) 497-8399
Mailing address
203 SANDSTONE DR, HAMPTON, GA 30228-5543
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
11/11/2022
Last updated
01/18/2023
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