Unknown Individual – Diagnostic Radiology Physician, NPI 1033173067
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 309143845
Phone: (706) 737-4575
Fax: (706) 731-5289
Type: Mailing
4350, Towne Center Drive, Evans, Columbia County, Georgia, 30809, United States
SUITE 1000
EVANS, GA 308093301
Phone: (706) 868-3940
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 30914)
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