Organization
GAINESVILLE RADIOLOGY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH AUSTIN (AUTHORIZED OFFICIAL)
(207) 482-7800
Entity
Organization
Contact information
Practice address
200 W ACADEMY STREET, GAINESVILLE, GA 30501
(770) 282-8820
(770) 534-9877
Mailing address
PO BOX 2417, GAINESVILLE, GA 30503-2417
(770) 532-9936
(770) 534-9877
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
07/03/2006
Last updated
07/24/2023
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