Organization · Type 2 NPI

Source Diagnostics of Georgia, LLC

Mobile Radiology Clinic/Center · Macon, GA

NPI number 1477819183 Active

Practice location

5559 Thomaston Rd
Macon, GA 31220-8120

Mailing address

5275 Naiman Pkwy, Ste E
Solon, OH 44139-1029

Specialties and licenses

TaxonomyCodeLicense
Mobile Radiology Clinic/Center Primary 261QR0208XNone listed

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About NPI 1477819183

Source Diagnostics of Georgia, LLC's National Provider Identifier is 1477819183, issued on Apr 6, 2012. The primary taxonomy on file is Mobile Radiology Clinic/Center (261QR0208X), and the practice location is in Macon, GA. The record was last updated on Apr 6, 2012.