| NPI | 1689127201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD FRANCIS CROOKS Ownet 678-994-5407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MD 42861) |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2016-07-31 |