DIGITAL MAMMOGRAPHY SPECIALISTS - CONYERS, LLC


Address: 3242 Avalon Blvd., Conyers, GA 30013
Phone: 6789046823

DIGITAL MAMMOGRAPHY SPECIALISTS - CONYERS, LLC (NPI# 1255619441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255619441
Entity Type Organization
Organization Name DIGITAL MAMMOGRAPHY SPECIALISTS - CONYERS, LLC
Other Organization Name DMS - CONYERS
Practice Address 3242 Avalon Blvd.
Conyers
GA 30013
Mailing Address 3242 Avalon Blvd
Conyers
GA 30013-6320
Practice Telephone 6789046823
Practice Fax Number 6789046824
Mailing Telephone 6789046823
Mailing Fax Number 7706791425
Enumeration Date 2011-07-22
Last Update Date 2019-09-17
Authorized Official Name DR. MANJU MORRISSEY (CEO)
Authorized Official Telephone 8669172806
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0206X Clinic/Center
Specialization: Radiology, Mammography
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
DMS - Conyers Other Name - Individual/Organization

Office Location

Street Address 3242 AVALON BLVD.
City CONYERS
State GA
Zip Code 30013

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Taxonomy Information

Taxonomy Code 261QR0206X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology, Mammography

Taxonomy Definition

Definition to come...

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1144407750 Evans Imaging, LLC Clinic/Center 4350 Towne Center Drive, Suite 1000, Evans, GA 30809 2008-01-25
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Competitor

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City CONYERS
Zip Code 30013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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