National Provider Identifier Database

SOUTHERN RADIOLOGY SERVICES
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

SOUTHERN RADIOLOGY SERVICES
606 ACADEMY AVENUE
DUBLIN, GA31021
Phone: 478-274-1100
Fax: 478-274-1166
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Body Imaging 2085B0100X
Diagnostic Radiology 2085R0202X
Diagnostic Ultrasound 2085U0001X

* Indicates primary specialty

NPI Profile & details for SOUTHERN RADIOLOGY SERVICES

NPI Number 1235224346
Legal business name
LBN
SOUTHERN RADIOLOGY SERVICES
Authorized official RAGAHAVA BHASKARAN - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 10/04/2006
Last updated 06/21/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 025580
  • GA Medicaid: 000321417E
  • GA Other: 297149 WELLCARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SOUTHERN RADIOLOGY SERVICES

There are currently no reviews for SOUTHERN RADIOLOGY SERVICES


NPIdb - Home
v2.201