| NPI | 1841285392 |
|---|---|
| Doing Business As | TRIDENT PET OF GWINNETT |
| Entity Type | Organization |
| Authorized Contact | GUY A MESSER CFO 770-692-2371 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2012-04-10 |