| NPI | 1003328642 |
|---|---|
| Doing Business As | CLERMONT RADIOLOGY-KINGS RIDGE |
| Entity Type | Organization |
| Authorized Contact | ROBERT S. KOLB President/CEO 770-833-1456 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |