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NPI Code Detail

MEDICARE: ULTRASOUND SERVICES OF GEORGIA LLC

MEDICARE: ULTRASOUND SERVICES OF GEORGIA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246XS1301XSonography Specialist/Technologist Cardiovascular

General Provider Information

NPI Number : 1831413210
Entity Type Code : Organization
Provider Name (Legal Business Name) : ULTRASOUND SERVICES OF GEORGIA LLC
Provider Business Mailing Address
First Line : 533 MERRILL LANE
Second Line :
City : PEACHTREE CITY
State : GA
Zip : 30269-5612
Country : US
Telephone Number : 770-631-8034
Fax Number : 770-631-8034
Provider Business Practice Location Address
First Line : 533 MERRILL LANE
Second Line :
City : PEACHTREE CITY
State : GA
Zip : 30269-5612
Country : US
Telephone Number : 770-631-8034
Fax Number : 770-631-8034
Authorized Official
Title or Position : MEMBER/MANAGER
Name : MR. RASHMIKANT KANUBHAI PATEL
Credential : RCS, RVS
Telephone Number : 770-631-8034
Provider Enumeration Date : 03/15/2010
Last Update Date : 03/15/2010

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Directions to “ULTRASOUND SERVICES OF GEORGIA LLC ” Practice Location

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