Healthcare Corrections X-ray

NPI 1013205640 - Clinic/Center - 261QR0208X

NPI Details
NPI 1013205640
Enumeration Date 07/18/2011
Last Updated 04/19/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DONNA MARIE DONNA
Position BUSINESS ADMINISTRATOR
Phone (229) 777-9214
Fax (229) 777-0159
Practice Location
105 CRESTVIEW DR
SYLVESTER GA, 31791-7166, US
Phone (229) 777-9214
Fax (229) 777-0159
Business Location
PO BOX 12512
TALLAHASSEE FL, 32317-2512, US
Phone (850) 545-2910
Fax (850) 385-7508
Toxanomy
Taxonomy Code 261QR0208X
License State
License Number
Remove 1013205640 NPI Number
 

According to our database, Healthcare Corrections X-ray NPI is 1013205640, taxonomy code is 261QR0208X Healthcare Corrections X-ray physically located at 105 Crestview Dr, Sylvester GA, 31791-7166. NPI Number 1033115704 has the healthcare provider type.

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1013205640 NPI number is provided on an as is basis without warranty of any kind. 1013205640 is maintained by the National Plan & Provider Enumeration System. The contents of Healthcare Corrections X-ray are for informational purposes only.