| NPI | 1356572796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA T DUNN Owner/Operator 706-589-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center Radiology, Mobile (Licence: GA 31122008) |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |