| NPI | 1750699005 |
|---|---|
| Doing Business As | TRIDENT MEDICAL IMAGING- GWINNETT |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL GATES Director Of Patient Accounts 770-692-1387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |