Organization Name: | EAST GEORGIA RADIOLOGY LLC |
NPI Number: | 1003973207 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE P. PIROS (PRESIDENT) |
Mailing Address: | 1499 Fair Rd Statesboro |
State: | GA US |
Postal Code: | 304581683 |
Phone Number: | 9124861510 |
Fax Number: | 9128712489 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 12/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |