| NPI | 1871544098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RICHARD AMERSON Authorized Representative 770-506-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| 2085N0700X Radiology, Neuroradiology | |
| 2085N0904X Radiology, Nuclear Radiology | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-22 |