Provider Demographics
NPI:1679812432
Name:RADFORD, ASHLEY DANIELLE (RT (R) (CT) (MR))
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DANIELLE
Last Name:RADFORD
Suffix:
Gender:F
Credentials:RT (R) (CT) (MR)
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1504 HARDEMAN AVE
Mailing Address - Street 2:STE B
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-1441
Mailing Address - Country:US
Mailing Address - Phone:478-745-3135
Mailing Address - Fax:478-745-3136
Practice Address - Street 1:1504 HARDEMAN AVE
Practice Address - Street 2:STE B
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-1441
Practice Address - Country:US
Practice Address - Phone:478-745-3135
Practice Address - Fax:478-745-3136
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA4588972471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging