| NPI | 1235514209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY FRAZIER STANLEY Registered Diagnostic Sonographer 910-690-6894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: NC 107830) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2016-01-14 |