| NPI | 1518942960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L THOMAS Administrative Asst 843-342-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2013-09-06 |