| NPI | 1548457062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN TRADER Manager 770-932-8599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile (Licence: GA GA031432) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2011-05-04 |