| NPI | 1841283751 |
|---|---|
| Doing Business As | WELLNESS IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM GROVER GODWIN Practice Administrator 910-738-8222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2010-07-20 |