NPI | 1073690467 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLENE INETTE BERRY Officer/Owner 910-640-7070 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: NC 9700465) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-08-22 |