NPI | 1033154489 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES C. FERRIS President 912-355-8188 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: GA 621111) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2012-11-26 |