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Vidalia Open Mri, Llc
Magnetic Resonance Imaging Radiologic Technologist in Vidalia, Georgia
NPI 1164599353

Vidalia Open Mri, Llc is a Magnetic Resonance Imaging Radiologic Technologist based in Vidalia, GA and is specialized in Magnetic Resonance Imaging. Vidalia Open Mri, Llc practices in Vidalia, GA. The NPI Number for Vidalia Open Mri, Llc is 1164599353 and holds a License No. 025199 (Georgia).

The current practice location address for Vidalia Open Mri, Llc is 3165 E 1St St, Vidalia, GA and can be reached out via phone at 800-474-1077.

Location: 3165 E 1St St, Vidalia, GA, 30474-8830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164599353
Provider Name
Vidalia Open Mri, Llc
Credential
Provider Entity Type
Organization
Address
3165 E 1St St, Vidalia, GA, 30474-8830
Phone Number
800-474-1077
Fax Number
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000303751E 05 GA
institution
Provider Business Practice Location Address Details
Address
3165 E 1St St
City
Vidalia
State
Georgia
Zip
30474-8830
Phone Number
800-474-1077
Fax Number
person
Provider Business Mailing Address Details
Address
3165 E 1St St
City
Vidalia
State
Georgia
Zip
30474-8830
Phone Number
800-474-1077
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Magnetic Resonance Imaging
Taxonomy
2471M1202X
License No.
025199 (Georgia)
Definition
Definition to come...
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