| NPI | 1811217920 |
|---|---|
| Doing Business As | STATESBORO IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | DON R CONNELL President 912-764-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |