| NPI | 1679294227 |
|---|---|
| Doing Business As | LAKESIDE IMAGING |
| Entity Type | Organization |
| Authorized Contact | GARY HARPER DENT CEO 912-764-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-02-10 |