MEDICARE: USTELERADIOLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0200X	Radiology Clinic/Center	0241960	GA

General Provider Information

NPI Number	:	1972716231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USTELERADIOLOGY

Provider Business Mailing Address
First Line	:	1175 PEACHTREE ST NE
Second Line	:	SUITE 1425
City	:	ATLANTA
State	:	GA
Zip	:	30361-6202
Country	:	US
Telephone Number	:	678-904-2590
Fax Number	:	678-904-2591

Provider Business Practice Location Address
First Line	:	1175 PEACHTREE ST NE
Second Line	:	SUITE 1425
City	:	ATLANTA
State	:	GA
Zip	:	30361-6202
Country	:	US
Telephone Number	:	678-904-2590
Fax Number	:	678-904-2591

Authorized Official
Title or Position	:	CEO, PRESIDENT
Name	:	DR. FRANCIS A FERRARO
Credential	:	M.D.
Telephone Number	:	678-904-2590

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	08/22/2020

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Directions to “USTELERADIOLOGY ” Practice Location

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