A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Diagnostic Ultrasound |
2085U0001X | |||
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology |
| NPI # | 1679862403 |
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| LBN Legal business name | FRIENDLY CARE DIAGNOSTIC SERVICES INC | ||||
| Authorized official | SERGO KUTELIA - (CEO) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/01/2011 | ||||
| Last updated | 04/01/2011 - About 15 years ago | ||||
| Identifiers |
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