Organization
MEDITEK/GREYSTONE, INC.
Active
Other names
ImageSouth Greystone
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI BROWN (DIRECTOR OF BILLING)
(706) 256-3450
Entity
Organization
Contact information
Practice address
7500 HUGH DANIEL DR, SUITE 150, BIRMINGHAM, AL 35242-7148
(205) 995-4900
(205) 995-0203
Mailing address
PO BOX 931080, ATLANTA, GA 31193-1080
(205) 995-9899
(205) 995-1255
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023040409
N. MELINDA BERGQUIST, MD
AL
01
—
1124000344
RUTH SNOW, MD
AL
01
—
1235111451
CECIL EILAND, MD
AL
01
—
1306051164
JAMES SPANN, M.D. - NPI #
AL
01
—
1427030642
ROBERT EICHELBERGER, MD
AL
01
—
470000666
RAILROAD MEDICARE
AL
01
—
51032977
BCBS - FACILITY ID NUMBER
AL
01
—
51116979
JAMES SPANN, M.D. - BCBS ID #
AL
05
—
529602980
—
AL
Enumeration date
01/30/2006
Last updated
10/28/2020
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