| NPI | 1093142101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LANETTE LIVINGSTON Sonographer 770-502-0225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: GA 45982) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |