| NPI | 1770597601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD O. KING Director 662-287-0376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471C3401X Radiologic Technologist, Computed Tomography |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |