| 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 |