institution
Georgia Lithotripsy And Laser Center
Radiology Clinic/Center in Athens, Georgia
NPI 1386739498

Georgia Lithotripsy And Laser Center is a Radiology Clinic/Center based in Athens, GA and is specialized in Radiology. Georgia Lithotripsy And Laser Center practices in Athens, GA. The NPI Number for Georgia Lithotripsy And Laser Center is 1386739498 and holds a License No. (Georgia).

The current practice location address for Georgia Lithotripsy And Laser Center is 120 Trinity Pl, Athens, GA and can be reached out via phone at 706-543-2718 and via fax at 706-353-3709. You can also correspond with Georgia Lithotripsy And Laser Center through the mailing address at 120 TRINITY PL, ATHENS, GA - 30607-2100 (mailing address contact number: 706-543-2718).

Location: 120 Trinity Pl, Athens, GA, 30607-2100
institution
Provider Profile Details
NPI Number
1386739498
Provider Name
Georgia Lithotripsy And Laser Center
Credential
Provider Entity Type
Organization
Address
120 Trinity Pl, Athens, GA, 30607-2100
Phone Number
706-543-2718
Fax Number
706-353-3709
Provider Enumeration Date
10/04/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
590 01 GA BLUE CROSS BLUE SHIELD
00451316A 05 GA
581596177001 01 GA CHAMPUS
institution
Provider Business Practice Location Address Details
Address
120 Trinity Pl
City
State
Zip
30607-2100
Phone Number
706-543-2718
Fax Number
706-353-3709
person
Provider Business Mailing Address Details
Address
120 Trinity Pl
City
State
Zip
30607-2100
Phone Number
706-543-2718
Fax Number
706-353-3709
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Lithotripsy
Taxonomy
License No.
029-044 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
()
Definition
Definition to come...
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