| NPI | 1508801101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH D GIBBERT Administrator 478-745-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: GA 0070115) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |