| NPI | 1134984982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINH LE Practice Manager 404-312-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-03-08 |