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 |