| NPI | 1124256540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM H LARSEN Director Of Credentialing 770-874-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2020-02-05 |