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GEORGIA TELERAD LLC NPI 1366675969


NPI Information

NPI: 1366675969
Provider Name: GEORGIA TELERAD LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
200 INDUSTRIAL BLVD
DUBLIN, GA
ZIP 31021
Phone: (973) 251-1132
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GEORGIA TELERAD LLC is a diagnostic radiology radiology in Dublin, GA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. GEORGIA TELERAD LLC NPI is 1366675969. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 INDUSTRIAL BLVD
DUBLIN, GA
ZIP 31021-981
Phone: (973) 251-1132

The provider's authorized official is Kathy Kondas .
The authorized official title is Officer and has the following contact phone number (973) 251-1132.

The enumeration date for this NPI number is 8/29/2009 and was last updated on 12/6/2019.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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

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