Healthcare Provider Details

I. General information

NPI: 1679407381
Provider Name (Legal Business Name): HERITAGE IMAGING GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 ABERNATHY RD
SANDY SPRINGS GA
30328-5620
US

IV. Provider business mailing address

1100 ABERNATHY RD
SANDY SPRINGS GA
30328-5620
US

V. Phone/Fax

Practice location:
  • Phone: 617-586-2299
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN SHINKLE
Title or Position: PRESIDENT
Credential: D.O.
Phone: 215-990-6708