| 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 |