IndividualActive
Ivy Gilmore
NPI 1295683845 · Magnetic Resonance Imaging Radiologic Technologist · Decatur, GA
Provider details
- NPI number
- 1295683845
- Entity type
- Individual
- Primary specialty
- Magnetic Resonance Imaging Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 322854 (GA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (770) 567-7500
Approximate (ZIP-level) locationGet directions
Mailing address
122 Katy Lake Rd
Jackson, GA 30233-3396
Additional practice locations (1)
- 9528 Highway 19Zebulon, GA 30295-3189Phone: (770) 567-7500
Registry dates
- Enumerated
- 2026-03-19
- Last updated
- 2026-03-19
- Certified
- 2026-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.