| NPI | 1336665553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CHARVAT Managed Care Director 404-297-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2020-02-24 |