| NPI | 1447728795 |
|---|---|
| Former Legal Business Name | SOUTHCOAST RADIOLOGISTS, LLC |
| Entity Type | Organization |
| Authorized Contact | PATRICIA POTTER SHAPIRO Member 912-547-5640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2019-01-25 |