Organization Name: | GAINESVILLE IMAGING ASSOCIATES |
NPI Number: | 1457553968 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFF N MCINTIRE (PRESIDENT) |
Mailing Address: | 1250 Jesse Jewell Pkwy Se Ste. 500 Gainesville |
State: | GA US |
Postal Code: | 305013871 |
Phone Number: | 7705329936 |
Fax Number: | 7705349877 |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 10/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 033142 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |