| NPI | 1811000177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HUDSON Credentialing Coordinator 843-824-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-01-09 |