| NPI | 1801980875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ELLER Administrative/Billing Manager 912-280-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |