Basic Information
Provider Information
NPI: 1881918845
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLEMING
FirstName: MARGARET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 1365 CLIFTON ROAD, DEPARTMENT OF RADIOLOGY
Address2: SUITE D-125A
City: ATLANTA
State: GA
PostalCode: 30322
CountryCode: US
TelephoneNumber: 4047124686
FaxNumber: 2065832307
Practice Location
Address1: 1365 CLIFTON ROAD, DEPARTMENT OF RADIOLOGY
Address2: SUITE D-125A
City: ATLANTA
State: GA
PostalCode: 30322
CountryCode: US
TelephoneNumber: 4047124686
FaxNumber: 2065832307
Other Information
ProviderEnumerationDate: 03/19/2010
LastUpdateDate: 06/24/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X073542GAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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