Whalio Doctors

NPI 1417153339

Andre T Ayers, NMTCB

Practitioner Nuclear Medicine Technology Radiologic Technologist Hiram, GA

Practice location

Address
5604 Wendy Bagwell Pkwy, Hiram, GA 30141-7809
Phone
(678) 384-1711
Fax
(678) 384-1721
Mailing address
76 Williams CT, Rockmart, GA 30153-6834

Registered specialties

Nuclear Medicine Technology Radiologic Technologist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 2471N0900X Licence 024830 (GA)

Registry record

NPI
1417153339
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jun 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.