Digital Mammography Specialists-Eagles Landing, LLC

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

DIGITAL MAMMOGRAPHY SPECIALISTS-EAGLES LANDING, LLC

Practice address

115 Eagle Spring Dr
Suite 100
Stockbridge, GA 30281-6486

Phone

(678) 904-7209

Fax

(770) 507-5199

NPI assigned

Jun 30, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Manju R. Morrissey, M.D.

Title

Chief Executive Officer

Phone

(678) 904-6820

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1174785240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ARIZONA AVE NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072299",
            "telephone_number": "678-904-6820",
            "fax_number": "678-904-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAGLE SPRING DR",
            "address_2": "SUITE 100",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816486",
            "telephone_number": "678-904-7209",
            "fax_number": "770-507-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITAL MAMMOGRAPHY SPECIALISTS-EAGLES LANDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "MORRISSEY",
        "authorized_official_first_name": "MANJU",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-904-6820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Pathology Associates PC
• Qiana Rosetta Dickerson
• Terri A Dickinson, PT
• David Didier
• Sarah Catherine Digirolamo
• Dignity Senior Care Services LLC
• Jonathan Shea Diruzzo, MD
• Clay Ditty, ACNP
• Jennifer Irene Diversi, DMD
• Natisha Dixon, BCBA

• Mammography Clinic/Center in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Mammography Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.