| NPI | 1093769424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA F BARON Practice Manager 843-556-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: SC 14926) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-10-31 |