| NPI | 1124304852 |
|---|---|
| Doing Business As | KINGS DAUGHTERS MEDICAL CENTER RADIOLOGIST |
| Entity Type | Organization |
| Authorized Contact | SARA MARKS CEO 606-408-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2023-06-16 |