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CENTRAL GEORGIA PET LLC NPI 1437149762


NPI Information

NPI: 1437149762
Provider Name: CENTRAL GEORGIA PET LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1650 HARDEMAN AVE
ATTN: RADIOLOGY DEPARTMENT
MACON, GA
ZIP 31201
Phone: (478) 633-4738
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CENTRAL GEORGIA PET LLC is a radiation oncology radiology in Macon, GA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. CENTRAL GEORGIA PET LLC NPI is 1437149762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1650 HARDEMAN AVE
ATTN: RADIOLOGY DEPARTMENT
MACON, GA
ZIP 31201-418
Phone: (478) 633-4738
Fax: (478) 749-9736

The provider's authorized official is Michael Zinsmeister .
The authorized official title is Medical Director and has the following contact phone number (478) 633-4738.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 11/6/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyNo
22085R0001XRadiologyRadiation OncologyYes

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: 4/28/2024

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