Healthcare Provider Details

I. General information

NPI: 1841298585
Provider Name (Legal Business Name): ATRIUM IMAGING OF SNELLVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1987 SCENIC HWY N
SNELLVILLE GA
30078-5640
US

IV. Provider business mailing address

PO BOX 6127
DALTON GA
30722-6127
US

V. Phone/Fax

Practice location:
  • Phone: 678-344-5570
  • Fax: 678-344-5571
Mailing address:
  • Phone: 706-277-0106
  • Fax: 706-270-5858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. DANA G PURCELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 706-277-0106