| NPI | 1083181895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ROSE MURRAY Director Of Credentialing 770-874-5439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |