| NPI | 1093723538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY T BROWN Credentialing Specialist 910-486-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-06-26 |