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Providence Imaging, Llc
Radiology Clinic/Center in Macon, Georgia
NPI 1447901889

Providence Imaging, Llc is a Radiology Clinic/Center based in Tallahassee, GA and is specialized in Radiology. Providence Imaging, Llc practices in Macon, GA. The NPI Number for Providence Imaging, Llc is 1447901889 and holds a License No. (Georgia).

The current practice location address for Providence Imaging, Llc is 1760 Bass Rd Ste 120, Macon, GA and can be reached out via phone at 850-562-1656.

Location: 1760 Bass Rd Ste 120, Macon, GA, 32303-8284
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447901889
Provider Name
Providence Imaging, Llc
Credential
Provider Entity Type
Organization
Address
1760 Bass Rd Ste 120, Macon, GA, 32303-8284
Phone Number
850-562-1656
Fax Number
Provider Enumeration Date
01/18/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1760 Bass Rd Ste 120
City
Macon
State
Georgia
Zip
31210-1061
Phone Number
850-562-1656
Fax Number
person
Provider Business Mailing Address Details
Address
1760 Bass Rd Ste 120
City
Macon
State
Georgia
Zip
31210-1061
Phone Number
850-562-1656
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
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