| NPI | 1174572374 |
|---|---|
| Former Legal Business Name | FORMERLY CARTERSVILLE RADIOLOGY GROUP, P. C. |
| Entity Type | Organization |
| Authorized Contact | MINH LE Practice Manager 404-312-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X Radiology, Neuroradiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2021-12-15 |