| NPI | 1295256311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS C. REDD Owner 770-538-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2019-10-31 |