| NPI | 1730786096 | 
|---|---|
| Doing Business As | DEPARTMENT OF RADIOLOGY | 
| Entity Type | Organization | 
| Authorized Contact | KRISTI ANN LAWRENCE Director Provider Enrollment 864-522-8611 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology | 
| Enumeration Date | 2020-10-08 | 
| Last Update Date | 2020-10-08 |