| NPI | 1174788293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE DEAVER Office Manager 843-673-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2010-06-29 |