NPI | 1851505309 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM BURLESON President 228-314-2510 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0001X Radiology Radiation Oncology (Licence: MS 13432) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2014-05-20 |