Organization
WGIS, INC.
Active
Other names
West Georgia Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS ENSLOW (OFFICE MANAGER)
(678) 384-1711
Entity
Organization
Contact information
Practice address
5604 WENDY BAGWELL PKWY, SUITE 911, HIRAM, GA 30141-7809
(678) 384-1711
(678) 384-1721
Mailing address
5604 WENDY BAGWELL PKWY, SUITE 911, HIRAM, GA 30141-7809
(678) 384-1711
(678) 384-1721
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
346551
GA
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
022347
GA
Other
Enumeration date
06/21/2007
Last updated
02/20/2008
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