Provider Demographics
NPI:1508209602
Name:RADIOLOGY CONSULTATION SERVICES, PC
Entity Type:Organization
Organization Name:RADIOLOGY CONSULTATION SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-277-1502
Mailing Address - Street 1:4545 HARRIS TRL NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-3813
Mailing Address - Country:US
Mailing Address - Phone:404-277-1502
Mailing Address - Fax:404-420-2805
Practice Address - Street 1:4545 HARRIS TRL NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-3813
Practice Address - Country:US
Practice Address - Phone:404-277-1502
Practice Address - Fax:404-420-2805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA340372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty