| NPI | 1902359854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER REDDY Owner 404-428-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2023-05-15 |