| Organization Name: | IMAGING CENTERS OF GEORGIA, INC. |
| NPI Number: | 1093017006 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NORMAN W. KING (PRESIDENT/CEO) |
| Mailing Address: | 108 Olympia Dr Suite 101 Warner Robins |
| State: | GA US |
| Postal Code: | 31093 |
| Phone Number: | 4783025270 |
| Fax Number: | 4783025280 |
| NPI Enumeration Date: | 11/23/2010 |
| NPI Last Update Date: | 07/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |