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 |