| NPI | 1205810918 |
|---|---|
| Former Name | MARSHA SLAUGHTER ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WV 17637) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME162765) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 37142) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.080733) | |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2024-04-18 |