NPI | 1720308091 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY HAWKINS Owner/ Authorized Official 336-379-0941 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2010-06-09 |
Last Update Date | 2020-10-21 |