| NPI | 1457790255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN HOLLINGSWORTH Member 865-531-0176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: LA MD.05631.R) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |