| Provider Type: | Allopathic & Osteopathic Physicians |
| Provider Classification: | Radiology |
| Provider Specialization: | Diagnostic Radiology |
| Definition of Specialization: | |
| Address: |
2287 Salem Rd Se Conyers, GA 30013-2025 |
| Phone: | (770) 760-0660 |
| Fax: | (770) 761-8878 |
| Authorized Official: | Mr. Schaefer, Daniel J |
| Authorized Official Position: | Coo |
| Authorized Official Phone: | (770) 300-0101 |
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