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Contact Information

SOUTHERN RADIOLOGY SERVICES
606 ACADEMY AVENUE
DUBLIN, GA31021
 Phone: 478-274-1100
 Fax: 478-274-1166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Body Imaging

2085B0100X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for SOUTHERN RADIOLOGY SERVICES

NPI Number 1235224346
LBN Legal business name SOUTHERN RADIOLOGY SERVICES
Authorized official RAGAHAVA BHASKARAN - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 06/21/2018 - About 8 years ago
Identifiers
GA License # 025580
GA Medicaid 000321417E
GA Other 297149 WELLCARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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