P E T IMAGING OF GWINNETT LLC NPI 1841285392

NPI Information

P E T IMAGING OF GWINNETT LLC is a body imaging radiology in Lawrenceville, GA. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. P E T IMAGING OF GWINNETT LLC NPI is 1841285392. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Trident Pet Of Gwinnett.

The provider's business location address is:

545 OLD NORCROSS RD
STE 200
LAWRENCEVILLE, GA
ZIP 30045-389
Phone: (770) 719-3754
Fax: (770) 719-3804

The provider's authorized official is Guy A Messer .
The authorized official title is Cfo and has the following contact phone number (770) 692-2371.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 4/10/2012.

Taxonomy Codes

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Other Identifiers

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