Organization Name: | ULTRASOUND ASSOCIATES |
NPI Number: | 1083914659 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LONETTE DANISE SPENCE (REGISTERED VASCULAR TECHNOLOGIST) |
Mailing Address: | 119 Griffin St Suite B Mcdonough |
State: | GA US |
Postal Code: | 302533123 |
Phone Number: | 6788144777 |
Fax Number: | 6788144778 |
NPI Enumeration Date: | 10/28/2010 |
NPI Last Update Date: | 10/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |