| NPI | 1801281100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD HUDSPETH Director 678-889-8938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Additional Taxonomies | 247100000X Radiologic Technologist |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-16 |