| NPI | 1083914659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONETTE DANISE SPENCE Registered Vascular Technologist 678-814-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |