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Contact Information

OPEN MRI OF BRUNSWICK LLC
2414 PARKWOOD DR
SUITE 100
BRUNSWICK, GA31520-4779
 Phone: 770-451-4040
 Fax: 770-451-3003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging Radiologic Technologist

2471M1202X
Indicates primary specialty

NPI Profile & details for OPEN MRI OF BRUNSWICK LLC

NPI # 1972740884
LBN Legal business name OPEN MRI OF BRUNSWICK LLC
Authorized official ANTHONY GORDON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2009
Last updated 06/18/2012 - About 14 years ago
Identifiers
GA License # 031432
GA Medicaid 000449765AC
GA Other 202I300099 MEDICARE PROVIDER
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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