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General NPI Number Information
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NPI Number | 1356443683
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Entity Type | Organization
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Legal Business Name | CAROLINA RADIOLOGICAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 302 UNIVERSITY PRKWY.
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City | AIKEN
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State | SC
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Zip | 29802
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Country | US
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Telephone | 706-737-4575
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Fax | 706-731-5289
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Provider Business Mailing Address
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Address Line | P.O. BOX 3847 1125 TROUPE STREET
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City | AUGUSTA
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State | GA
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Zip | 30914-3847
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Country | US
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Telephone | 706-667-7450
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Fax | 706-731-5289
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Authorized Official
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Title or Position | MD / PARTNER
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Name | DR. ALFONSO GAY JR.
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Credential | MD
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Telephone | 803-644-1357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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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 | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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Taxonomy #5
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Taxonomy Code | 261QR0206X
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Taxonomy Name | Mammography Clinic/Center
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License Number |
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Taxonomy #6
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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 #7
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number |
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License Number State |
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Taxonomy #8
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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 #9
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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 #10
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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 #11
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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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