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General NPI Number Information
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NPI Number | 1003973207
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Entity Type | Organization
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Legal Business Name | EAST GEORGIA RADIOLOGY LLC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1499 FAIR RD
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City | STATESBORO
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State | GA
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Zip | 30458-1683
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Country | US
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Telephone | 912-486-1339
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Fax | 912-871-2424
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Provider Business Mailing Address
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Address Line | PO BOX 1368
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City | STATESBORO
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State | GA
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Zip | 30459
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Country | US
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Telephone | 912-486-1339
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Fax | 912-871-2424
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Authorized Official
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Title or Position | SENIOR PARTNER
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Name | KHOA D NGUYEN
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Credential | MD
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Telephone | 912-486-1339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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