| NPI | 1710932603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY FOGLE Manager Of Credentialing 919-763-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2024-10-01 |