| NPI | 1891832366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL C SCIDMORE President 706-858-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0203X Radiology Therapeutic Radiology (Licence: GA 052630) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |