| NPI | 1194776765 |
|---|---|
| Doing Business As | NOVANT HEALTH IMAGING BALLANTYNE |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY K. GARDNER Credentialing 678-992-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-03-19 |