SNELLIVLLE MEDICAL IMAGING NPI 1205886249

NPI Information

NPI: 1205886249
Provider Name: SNELLIVLLE MEDICAL IMAGING
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2310 HENRY CLOWER BLVD
SUITE A
SNELLVILLE, GA
ZIP 30078
Phone: (678) 205-2555
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SNELLIVLLE MEDICAL IMAGING is a multi-specialty clinic center in Snellville, GA. SNELLIVLLE MEDICAL IMAGING NPI is 1205886249. The provider is registered as an organization entity type.

The provider's business location address is:

2310 HENRY CLOWER BLVD
SUITE A
SNELLVILLE, GA
ZIP 30078-776
Phone: (678) 205-2555
Fax: (678) 205-2556

The provider's authorized official is Kendal Cowan .
The authorized official title is Nuclear Medicine Technologist and has the following contact phone number (678) 205-2555.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	2006OCC0013	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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