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 |