| NPI | 1528166725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY L. SULLIVAN Owner/Partner 662-328-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 04908) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-06-25 |