| NPI | 1225014657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | B ED SHELLEY CEO 843-692-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2005-12-18 |
| Last Update Date | 2022-07-21 |