| NPI | 1407457013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRILLHART Sr VP/CFO 803-791-2967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |