| NPI | 1609997055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SALVATORE RAVITA Director Of Radiation Medicine 803-791-2598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 8174) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |