Organization · Type 2 NPI

Georgia Radiology Association, Inc.

Diagnostic Radiology Physician · St. Petersburg, FL

NPI number 1407040512 Active

Practice location

701 6th St S
St. Petersburg, FL 33701-4814

Mailing address

PO Box 309
Pickens, SC 29671-0309

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XME0084359 (FL)
Vascular & Interventional Radiology Physician 2085R0204XME0084359 (FL)
Diagnostic Ultrasound Physician 2085U0001XME0084359 (FL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1407040512

Georgia Radiology Association, Inc.'s National Provider Identifier is 1407040512, issued on Aug 31, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 31, 2007.