| NPI | 1396762209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUJEAN TRUMBLE Business Manager 228-762-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2017-06-22 |