| NPI | 1184792392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE P CARLTON Office Manager 770-991-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 015469) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |