Unknown Individual – Diagnostic Radiology Physician, NPI 1023072147
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
1125, Troupe Street, King Estates, Augusta, Richmond County, Georgia, 30904, United States
P.O. BOX 3845
AUGUSTA, GA 309044480
Phone: (706) 737-4575
Fax: (706) 731-5289
Type: Mailing
University Hospital, 1350, Walton Way, Augusta, Richmond County, Georgia, 30901, United States
AUGUSTA, GA 309012612
Phone: (706) 774-5035
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30904)
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