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General NPI Number Information
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NPI Number | 1932189685
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Entity Type | Organization
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Legal Business Name | ATHENS RADIOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 245 FLOYD DR
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City | ATHENS
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State | GA
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Zip | 30607-1469
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Country | US
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Telephone | 762-356-4780
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Fax | 843-497-9566
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Provider Business Mailing Address
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Address Line | PO BOX 106062
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City | ATLANTA
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State | GA
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Zip | 30348-6062
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Country | US
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Telephone | 866-264-3435
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Fax | 843-497-9566
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Authorized Official
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Title or Position | PRESIDENT
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Name | RONALD COLEMAN WALPERT II
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Credential | M.D.
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Telephone | 706-850-5001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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