OrganizationActive
Interventional Institute of Georgia
NPI 1508284175 · Radiology Podiatrist · Jonesboro, GA
Provider details
- NPI number
- 1508284175
- Entity type
- Organization
- Primary specialty
- Radiology PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Holly Farrow, Clinical Coordinator
- License
- 043894 (GA)
Practice location
7130 Mount Zion Blvd
Suite 2
Jonesboro, GA 30236-2566
Phone: (770) 506-4007
Fax: (678) 246-5191
Mailing address
Po Box 955
Stockbridge, GA 30281-0955
Registry dates
- Enumerated
- 2014-04-01
- Last updated
- 2014-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.