| NPI | 1144742271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISHUA M ROBERTS Office Manager 678-519-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2017-07-11 |