| NPI | 1164299566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WILLIAMSON Owner 910-536-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |