Organization · NPI-2
Atlanta Va Medical Center
Radiologic Technologist, Computed Tomography · Detroit, MI
NPI number1063288702
StatusActive
Last updated in NPPESDec 4, 2023
Details
- NPI
- 1063288702
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlanta Va Medical Center
- Organization subpart
- No
- Enumeration date
- Dec 4, 2023
- Certification date
- Dec 2, 2023
- Last updated
- Dec 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C3401X | Radiologic Technologist, Computed Tomography | – | – | Yes |
| 2471C1101X | Radiologic Technologist, Cardiovascular-Interventional Technology | – | – | |
| 2471C3402X | Radiologic Technologist, Radiography | – | – | |
| 2471V0106X | Radiologic Technologist, Vascular-Interventional Technology | – | – |
Practice location
7709 LamphereDetroit, MI 48239-1082
Phone 313-300-9541
Mailing address
7709 LamphereDetroit, MI 48239-1082
Phone 313-300-9541
Other practice locations
1670 Clairmont Rd
Decatur, GA 30033-4004
Decatur, GA 30033-4004
Phone 404-321-6111
Authorized official
Sherry Lynn Williams
Cat Scan Technician
3133009541
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