NPI | 1689010167 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD R. BLOOM Medical Director 706-507-7055 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
Enumeration Date | 2013-05-10 |
Last Update Date | 2013-05-10 |