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Organization

PRO RADIOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATRINA ROELLE (DIRECTOR OF CREDENTIALING)
(614) 689-1691
Entity
Organization

Contact information

Practice address
3921 JOHNS CREEK CT, SUITE B, JOHNS CREEK, GA 30024
(770) 217-7414
(770) 217-7142
Mailing address
PO BOX 746534, ATLANTA, GA 30374-6534

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261QR0200X
Radiology Clinic/Center
Primary

Other

Enumeration date
04/04/2017
Last updated
07/19/2024
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