| NPI | 1609814151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAY BAKER VP Of Operations 678-354-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology (Licence: AL 06000889) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-10-28 |