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Southeast Georgia Open Mri Llc
Diagnostic Radiology Physician in Brunswick, Georgia
NPI 1255438974

Southeast Georgia Open Mri Llc is a Diagnostic Radiology Physician based in Brunswick, GA and is specialized in Diagnostic Radiology. Southeast Georgia Open Mri Llc practices in Brunswick, GA. The NPI Number for Southeast Georgia Open Mri Llc is 1255438974 and holds a License No. (Georgia).

The current practice location address for Southeast Georgia Open Mri Llc is 1103 Fountain Lake Drive, Brunswick, GA and can be reached out via phone at 912-267-6736 and via fax at 912-262-1922.

Location: 1103 Fountain Lake Drive, Brunswick, GA, 31525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255438974
Provider Name
Southeast Georgia Open Mri Llc
Credential
Provider Entity Type
Organization
Address
1103 Fountain Lake Drive, Brunswick, GA, 31525
Phone Number
912-267-6736
Fax Number
912-262-1922
Provider Enumeration Date
09/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00469169G 05 GA
1942294848 01 BILLING PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1103 Fountain Lake Drive
City
Brunswick
State
Georgia
Zip
31525
Phone Number
912-267-6736
Fax Number
912-262-1922
person
Provider Business Mailing Address Details
Address
1103 Fountain Lake Drive
City
Brunswick
State
Georgia
Zip
31525
Phone Number
912-267-6736
Fax Number
912-262-1922
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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