IndividualActive
Andre Ayers, NMTCB
NPI 1417153339 · Nuclear Medicine Technology Radiologic Technologist · Hiram, GA
Provider details
- NPI number
- 1417153339
- Entity type
- Individual
- Primary specialty
- Nuclear Medicine Technology Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- NMTCB
- Sex
- Male
- Sole proprietor
- No
- License
- 024830 (GA)
Practice location
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
Registry dates
- Enumerated
- 2007-06-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.