Doctor Name: | MRS. ALICIA FAIR-JEMISON |
NPI Number: | 1750520482 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RT(R) |
License Number: | 353391 |
Business Practice Address: | 1968 Peachtree Rd Nw Atlanta, GA - 303091281 |
Business Phone Number: | 4046052929 |
Business Fax Number: | |
Mailing Address: | 240 N Highland Ave Ne, #3310 ATLANTA |
State: | GA |
Postal Code: | 303075609 |
Phone Number: | 4042105101 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2009 |
NPI Last Update Date: | 02/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 353391 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |