| NPI | 1346357217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRUCE TANNEHILL Partner 706-667-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: GA 018827) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: GA 018827) |
| 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: GA 018827) | |
| 2085N0700X (Licence: GA 018827) | |
| 2085N0904X (Licence: GA 018827) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: GA 018827) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 018827) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: GA 018827) | |
| 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: GA 018827) | |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-04-20 |