NPI:
1700445582
Provider Name:
AMERICAN HEALTH IMAGING OF GEORGIA LLC
Doing Business As: AMERICAN HEALTH IMAGING OF HIRAM, LLC
Classification:
Clinic/Center - 261QR0200X
Entity Type:
Organization
Specialization: Radiology
CLIA Number: 11D2125729
Address:
4374 ATLANTA HWY STE 125
HIRAM, GA
ZIP 30141
Phone:
(678) 941-1777
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AMERICAN HEALTH IMAGING OF GEORGIA LLC is a radiology clinic center in Hiram, GA. AMERICAN HEALTH IMAGING OF GEORGIA LLC NPI is 1700445582. The provider is registered as an organization entity type.
The provider Is Doing Business As American Health Imaging Of Hiram, Llc.
The provider's business location address is:
4374 ATLANTA HWY STE 125
HIRAM, GA
ZIP 30141-852
Phone: (678) 941-1777
Fax: (678) 941-1778
The provider's authorized official is Jane Travis Lutz .
The authorized official title is Manager Of Credentialing and has the following contact phone number (704) 362-5391.
The CLIA number assigned to this NPI record is 11D2125729 - independent with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/6/2019 and was last updated on 11/27/2020.