NPI | 1659839694 |
---|---|
Other Name | RADIOLOGY SERVICES OF SELF MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MATTHEW T LOGAN President And CEO 864-725-4253 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
Enumeration Date | 2019-03-08 |
Last Update Date | 2021-12-14 |