| NPI | 1548789852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L REDDY Manager 404-428-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2023-05-15 |