| NPI | 1588621296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY C. MCCOWN Credentialing Specialist 256-713-0647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2024-03-20 |