Unknown Individual – Diagnostic Radiology Physician, NPI 1366435562
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3340, Peachtree Road Northeast, Buckhead, Atlanta, Georgia, 30326, United States
SUITE 2025
ATLANTA, GA 303261000
Phone: (321) 292-1398
Type: Mailing
4063, Salisbury Road, Jacksonville, Duval County, Florida, 32216, United States
SUITE 100
JACKSONVILLE, FL 322168030
Phone: (321) 292-1398
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30326)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71010 | X-ray of chest, 1 view, front | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Diagnostic Radiology | FL |
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