Provider Demographics
NPI:1568651644
Name:DIGITAL MAMMOGRAPHY SPECIALISTS, INC.
Entity type:Organization
Organization Name:DIGITAL MAMMOGRAPHY SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MANJU
Authorized Official - Middle Name:R
Authorized Official - Last Name:MORRISSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-207-1768
Mailing Address - Street 1:200 ARIZONA AVENUE NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-2299
Mailing Address - Country:US
Mailing Address - Phone:404-207-1768
Mailing Address - Fax:678-904-6824
Practice Address - Street 1:200 ARIZONA AVENUE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2299
Practice Address - Country:US
Practice Address - Phone:404-207-1768
Practice Address - Fax:678-904-6824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA261QR0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0206XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mammography