| NPI | 1528405412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KITZMILLER Assistant Treasurer 336-832-7579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 261QM1200X Clinic/Center Magnetic Resonance Imaging (MRI) |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0206X Clinic/Center Radiology, Mammography | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2013-05-31 |