| NPI | 1417019670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARKS W PRATT Owner 334-793-9564 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AL 14110) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-10-04 |