National Provider Identifier Database

PRESGAR IMAGING OF AUGUSTA LLC
Magnetic Resonance Imaging (MRI)


Contact Information

PRESGAR IMAGING OF AUGUSTA, LLC
3610 WHEELER ROAD
AUGUSTA, GA30909
Phone: 706-210-9500
Fax: 706-210-9600
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for PRESGAR IMAGING OF AUGUSTA, LLC

NPI Number 1619199932
Legal business name
LBN
PRESGAR IMAGING OF AUGUSTA, LLC
Authorized official ROBBIE ROBERTSON - (PRESIDENT AND CEO)
Entity Organization
Organization subpart No
Enumeration date 05/03/2007
Last updated 10/28/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: GPA516

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.

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