| NPI | 1609923390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS G COSENTINO President 228-436-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MS 07207) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-10 |