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General NPI Number Information
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NPI Number | 1619199932
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Entity Type | Organization
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Legal Business Name | PRESGAR IMAGING OF AUGUSTA, LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 10/28/2021
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Provider Practice Location Address
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Address Line | 3610 WHEELER ROAD
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City | AUGUSTA
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State | GA
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Zip | 30909
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Country | US
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Telephone | 706-210-9500
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Fax | 706-210-9600
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Provider Business Mailing Address
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Address Line | 23110 STATE RD 54 PMB 292
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City | LUTZ
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State | FL
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Zip | 33549
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Country | US
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Telephone | 352-578-2055
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Fax | 813-977-0143
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. ROBBIE ROBERTSON
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Credential |
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Telephone | 813-323-2594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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