| NPI | 1437149762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ZINSMEISTER Medical Director 478-633-4738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2012-11-06 |