| NPI | 1831207992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON G. DASHER Md/Partner 706-737-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: GA 017191) |
| Additional Taxonomies | 2085D0003X Radiology, Diagnostic Neuroimaging (Licence: GA 017191) |
| 2085B0100X Radiology, Body Imaging (Licence: GA 017191) | |
| 2085N0700X Radiology, Neuroradiology (Licence: GA 017191) | |
| 2085N0904X Radiology, Nuclear Radiology (Licence: GA 017191) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: GA 017191) | |
| 2085R0203X Radiology, Therapeutic Radiology (Licence: GA 017191) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: GA 017191) | |
| 261QX0200X Clinic/Center, Oncology (Licence: GA 017191) | |
| 261QX0203X Clinic/Center, Oncology, Radiation (Licence: GA 017191) | |
| 261QR0200X Clinic/Center, Radiology (Licence: GA 017191) | |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2009-05-05 |