| NPI | 1669400131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMA M PHILLIPS Director Of Physician Billing 731-660-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2025-10-30 |