| NPI | 1760669931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CASTLEBERRY CEO 912-764-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: GA 055937) |
| 2085R0204X Radiology Vascular & Interventional Radiology (Licence: GA 055937) | |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2024-06-19 |