USMAMMO NPI 1104039486

NPI Information

  • NPI: 1104039486
  • Provider Name: USMAMMO
  • Classification: Clinic/Center - 261QR0206X
  • Specialization: Radiology, Mammography
  • Entity Type: Organization
  • Doing Business As: USTELEMAMMOGRAPHY
  • Address: 1175 PEACHTREE ST NE
    SUITE 1425
    ATLANTA, GA
    ZIP 30361
  • Phone: (404) 419-6644

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NPI Details

USMAMMO is a radiology and mammography clinic center in Atlanta, GA. USMAMMO NPI is 1104039486. The provider is registered as an organization entity type.
The provider Is Doing Business As Ustelemammography.

The provider's business location address is:

1175 PEACHTREE ST NE
SUITE 1425
ATLANTA, GA
ZIP 30361-202
Phone: (404) 419-6644
Fax: (678) 904-2591

The provider's authorized official is Martha D Garrison .
The authorized official title is Ceo,president and has the following contact phone number (404) 419-6644.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0206XClinic/CenterRadiology, Mammography0609796GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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