| NPI | 1144370776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE R AMACKER Manager 601-936-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |