Healthcare Provider Details
I. General information
NPI: 1275468175
Provider Name (Legal Business Name): GEORGIA PRECISION IMAGING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2508 MEADOWMIST PL SE
CONYERS GA
30013-6314
US
IV. Provider business mailing address
2508 MEADOWMIST PL SE
CONYERS GA
30013-6314
US
V. Phone/Fax
- Phone: 470-998-8481
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOY
VASON
Title or Position: MANAGING MEMBER
Credential:
Phone: 470-998-8481