| NPI | 1114998192 |
|---|---|
| Doing Business As | IMAGESOUTH MONTCLAIR ROAD |
| Entity Type | Organization |
| Authorized Contact | TRACI BROWN Director Of Billing 706-256-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-10-28 |