| NPI | 1528128790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI BROWN Director Of Billing 706-256-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: GA 041535) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-11-02 |