| NPI | 1730433715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SCHUPP Manager 912-663-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: GA 036409) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2023-03-13 |