| NPI | 1104045251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WARREN SCRUGGS CEO 770-303-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471S1302X Radiologic Technologist Sonography (Licence: AZ 07689701W) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-11-01 |